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短暂性脑缺血(TIA)和即将发生卒中一样是心肌梗塞的前驱症状。Dlaisdell报道1378例TIA死亡的主要原因是心脏病而不是卒中。鉴于对TIA患者与冠心病相关的因素缺乏探讨,因此作者研究了在TIA患者中心肌梗塞(MI)与猝死(SD)的发生率,以及严重劲动脉粥样硬化疾病与继发心脏病变的关系。本文报道的390例患者均具有短暂性(<24小时)局灶性脑缺血症状:虚弱、面部或肢体部知觉丧失;构音或语言异常;一过性复视、单眼盲或偏盲。这些症状单独或合并出现。年龄37~82岁,平均61.7岁,55岁以下占24%,55~65岁占38%,65岁以上占38%。334名TIA患者症状局限于视网膜或脑半球,56名局限于椎基底循环。
TIA, like impending stroke, is a precursor to myocardial infarction. Dlaisdell reported 1378 cases of TIA death is the main cause of heart disease rather than stroke. In view of the lack of discussion of factors associated with coronary heart disease in TIA patients, we examined the incidence of myocardial infarction (MI) and sudden death (SD) in patients with TIA and the relationship between severe acute atherosclerotic disease and secondary heart disease . All of the 390 patients reported in this paper have transient ischemic symptoms (<24 hours) of focal cerebral ischemia: weakness, loss of sensation in the face or limb; dysarthria or language abnormalities; transient diplopia, monocular or hemifacial. These symptoms appear alone or in combination. Aged 37-82 years old, with an average of 61.7 years of age, accounting for 24% of 55 years of age, 55 to 65 years of age accounted for 38%, 65% of the age accounted for 38%. 334 TIA patients with symptoms confined to the retina or cerebral hemisphere, 56 were limited to vertebrobasilar circulation.