由于卒中患者有时会因为心脏并发症而猝死，有关脑卒中对心脏的影响近年再度受到人们关注。研究表明，患者在脑卒中后常出现心电图复极改变、心律失常、血浆心肌酶学改变和心肌细胞灶性溶解等，这些改变并不能用伴随的心肌缺血完全解释。岛叶皮质及皮质下联系纤维的损伤引起自主神经功能失调在其发病机理中可能起着重要作用。本文综述其近期临床与基础研究进展。 Since stroke patients sometimes die suddenly due to cardiac complications, the impact of stroke on the heart has received renewed attention in recent years. Studies have shown that patients often appear after stroke complex electrocardiogram changes, arrhythmia, changes in plasma enzymes and focal myocardial cell lysis, these changes can not be completely explained by the accompanying myocardial ischemia. Island leaf cortex and subcortical injury caused by damage to the autonomic nerve dysfunction in the pathogenesis may play an important role. This article summarizes its recent clinical and basic research progress.