Relationship between basal ganglia ischemic stroke and paroxysmal atrial fibrillation
10.3969/j.issn.1009-0126.2017.12.005
- VernacularTitle:基底节区脑梗死与阵发性心房颤动的相关性研究
- Author:
bo Wen CHENG
1
;
Qin YANG
;
mei Yue HOU
Author Information
1. 201499,上海交通大学附属第六人民医院南院上海市奉贤区中心医院老年医学科
- Keywords:
brain infarction;
vagus nerve diseases;
atrial fibrillation;
echocardiography
- From:
Chinese Journal of Geriatric Heart Brain and Vessel Diseases
2017;19(12):1248-1251
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the relationship between basal ganglia ischemic stroke (BGIS) and paroxysmal atrial fibrillation (PAF) due to abnormal vagus nerve tension.Methods A total of 1483 elderly ischemic stroke patients who underwent head CT or MRI in our hospital from January 2013 to December 2014 were divided into BGIS group (n=1045) and non-BGIS group (n=438).Their heart rate variability and frequency parameters (SDNN,RMSSD,PNNS0) were recorded.The LF/HF ratio was analyzed.Results The incidence of PAF was significantly lower in ＜69 years old patients of BGIS group than in those of non-BGIS group (P＜0.05) and was significantly higher in ≥70 years old patients of BGIS group than in those of non-BGIS group (P＜0.05).The incidence of ischemic stroke with PAF was significantly higher in BGIS group than in nonBGIS group (56.8％ vs 41.0％,P=0.031).The incidence of PAF was significantly higher in ＞79 years old patients of BGIS group than in those of non-BGIS group (P＜0.05).The incidence of AF increased with the increasing age of ischemic patients between the two groups.The SDNN,RMSSD,PNN50 were significantly higher while the LF/HF ratio was significantly lower in nonPAF patients of BGIS group than in those of non-BGIS group (P＜0.05).Conclusion The incidence of BGIS shows a tendency to increase.PAF is prone to occur in BGIS patients.The vagus nerve tension is increased in BGIS patients with PAF.
