本文分析了８４例因急性脑血管病死亡患者的尸检和心电图资料。脑出血患者的心律失常发生率要多于脑梗塞。小脑损伤时，窦性心动过速的发生高于大脑及其它部位的病变。心电图表现有心肌梗塞图形的患者，在病理检查中，绝大部分心脏除了原有疾患造成的病理损害外，其心脏解剖并未发现梗塞病灶，但其中３例有心肌细胞溶解、变性和单核细胞浸润。因此，我们认为，急性脑血管病时，颅内病变引致的综合因素有可能造成心肌的一定损害。 This article analyzes the autopsy and ECG data of 84 patients died of acute cerebrovascular disease. The incidence of arrhythmia in patients with cerebral hemorrhage than in cerebral infarction. When cerebellum is impaired, sinus tachycardia occurs more often than lesions in the brain and elsewhere. Electrocardiogram showed patients with myocardial infarction pattern, in the pathological examination, most of the heart in addition to the original pathological damage caused by the disease, the heart anatomy did not find infarct lesions, but three cases of myocardial cell lysis, degeneration and mononuclear Cell infiltration. Therefore, we believe that acute cerebrovascular disease, intracranial lesions caused by a combination of factors that may cause some damage to the heart.