目的　探讨心血管病变与急性脑血管病的关系。方法　以我院 82例急性脑血管病死亡病历和尸检资料为基础 ,分析其心电图及心脏和冠状动脉的病理改变。结果　 82例中 ,心电图异常率 86 .2 % ,冠状动脉粥样硬化90 .3%。心源性死亡 7例 ,占死亡病人 8.5 %。在心脏发现血栓样赘生物的 12例病人中 ,11例发生动脉栓塞 ,包括脑、肾、肺、脾、肠系膜和肢体动脉栓塞。结论　心源性死因是急性脑血管病的主要死因之一。心房纤颤和心脏内有血栓样赘生物的病人 ,动脉栓塞的发生率很高 ,临床上要常规检查心电图和心脏超声 ,积极防治心血管并发症 Objective To investigate the relationship between cardiovascular disease and acute cerebrovascular disease. Methods Based on 82 cases of death from acute cerebrovascular disease in our hospital and autopsy data, the electrocardiogram and the pathological changes of heart and coronary artery were analyzed. Results Among 82 cases, the rate of ECG abnormality was 86.2% and coronary atherosclerosis was 90.3%. Cardiac death in 7 cases, accounting for 8.5% of deaths. Of 12 patients with thrombosed neoplasms in the heart, 11 developed arterial embolism, including brain, kidney, lung, spleen, mesentery, and arterial embolism. Conclusions Cardiac death causes are one of the major causes of death in acute cerebrovascular disease. Atrial fibrillation and cardiac thrombosis of patients with neoplasms, the incidence of arterial embolism is high, clinically routine examination of ECG and cardiac ultrasound, and active prevention and treatment of cardiovascular complications