Der Einfluß des Hirninfarktes auf das Herz

Abstract

Cerebral infarcts may not only be the consequence but also the cause for cardiac dysfunctions. Within the scope of cerebral infarction cardiac irregularities and repolarisation disturbances may occur in the electro-cardiogram (ECG) due to an increased sympathico-adrenal tonus. These cardiac complications of the cerebral infarct are not only functional, but partly reflect patho-morphologic provable damages of the myocardium, which are indicated in laboratory chemical tests by an increase of creatinine kinase. Cardiac events as for example the sudden heart death and an acute myocardial infarct are the leading causes of death in the long-term progress of cerebral infarction. An ECG-monitoring must be considered as urgently necessary due to the substantially increased rate of mortality of patients with ventricular arrhythmia, which often appears intermittently. By means of routinely ECG-monitoring of patients with cerebral infarction cardiac irregularities might be revealed and treated in time.