Advances in clinical studies on brain heart syndrome secondary to stroke

JIANG Dudu; JIN Guohua; GU Qin; WANG Qinying; YU Min; HAN Ying; SONG Haoming; ZHAN Qing

doi:10.12022/jnnr.2017-0031

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Journal of Neurology and Neurorehabilitation ›› 2017, Vol. 13 ›› Issue (4) : 227-232. DOI: 10.12022/jnnr.2017-0031

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Advances in clinical studies on brain heart syndrome secondary to stroke

JIANG Dudu1, JIN Guohua1, GU Qin1, WANG Qinying1, YU Min1, HAN Ying1, SONG Haoming2, ZHAN Qing1

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Abstract

Brain heart syndrome (BHS) refers to the secondary heart damage caused by acute-phase stroke, manifested as cardiac dysfunction and changes in cardiac electrical activity, leading to the aggravating conditions. The treatment of BHS has become more complex, or even contradictory, severely affects the prognosis of the patients. This paper discusses the advances in clinical examinations, pathogenesis and treatment of BHS, particularly pointing out that the laboratory results of heart damage and the electrocardiogram abnormalities are related to stroke type and the part of lesion in stroke. Meanwhile, it is pointed out that the primary disease should be treated first in the treatment of patients with BHS. The dynamic monitoring of electrocardiogram and laboratory tests for heart damage should be conducted while correcting arrhythmia and myocardial ischemia in time, which can determine the heart damage in real time and effectively, so as to give targeted treatment and rehabilitation.

Key words

Stroke / Brain heart syndrome / Arrhythmia / Cardiac troponin

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JIANG Dudu, JIN Guohua, GU Qin, WANG Qinying, YU Min, HAN Ying, SONG Haoming, ZHAN Qing. Advances in clinical studies on brain heart syndrome secondary to stroke[J]. Journal of Neurology and Neurorehabilitation. 2017, 13(4): 227-232 https://doi.org/10.12022/jnnr.2017-0031

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Funding

Youth Fund Project of Shanghai Science and Technology Commission (No. 20164Y0073); Academic Research Project of Shanghai University of Traditional Chinese Medicine (No. 2016YG36); Talents Training Program of Shanghai Seventh People’s Hospital (No. QMX2017-03)