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心肌梗塞并发脑血管意外时预后较差。本文报告一大组5839例在冠心病专科医院住院的急性心肌梗塞患者其脑血管意外和短暂性脑缺血发作(CVA-TIA)的发病率、前驱症状及并发 CVA-TIA 的临床意义。1981～1983年在以色列的13所医院住院的急性心肌梗塞患者作为研究对象。急性心肌梗塞的诊断根据临床症状、心电图和血清酶学检查。有关人口统计、病史和药物资料登记于特定表格。脑血管意外的诊断根据肢体和面部的轻瘫或瘫痪持续至少24小时。本组有47例发
Myocardial infarction complicated by cerebrovascular accident when the prognosis is poor. This article reports the incidence of cerebrovascular accident and transient ischemic attack (CVA-TIA), prodromal symptoms, and the clinical significance of CVA-TIA in a large cohort of 5839 patients with acute myocardial infarction hospitalized at a coronary heart disease clinic. Acute myocardial infarction patients hospitalized in 13 hospitals in Israel from 1981 to 1983 were selected as study subjects. Diagnosis of acute myocardial infarction based on clinical symptoms, ECG and serum enzyme examination. About demographics, medical history and drug information are registered on a particular form. The diagnosis of cerebrovascular accidents is based on paresis or paralysis of the limbs and face for at least 24 hours. This group has 47 cases made