Akutes Koronarsyndrom bei akutem Schlaganfall

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• 作者：F. Jansen ; G. Nickenig ; G.C. Petzold…
• 关键词：SchlüsselwörterTroponin ; Thrombozytenaggregationshemmer ; Myokardinfarkt ; Ballondilatation ; Intrakranielle Blutungen
• 刊名：Medizinische Klinik - Intensivmedizin und Notfallmedizin
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：112
• 期：1
• 页码：4-10
• 全文大小：
• 刊物类别：Medicine
• 刊物主题：Intensive / Critical Care Medicine; Emergency Medicine; Internal Medicine;
• 出版者：Springer Medizin
• ISSN：2193-6226
• 卷排序：112

文摘

BackgroundElevated troponin levels are commonly found in patients with acute stroke and approximately 60 % of stroke patients suffer from an accompanying coronary artery disease. Troponin release can be caused either by an acute thrombotic myocardial infarction or by insufficient coronary perfusion due to neurocardiogenic causes like blood pressure or heart rate variability without thrombotic coronary occlusion. Due to the often unclear pathological cause of troponin release and the risk of secondary hemorrhage during dual antiplatelet therapy, the determination of the best time point for coronary diagnostics and therapy in stroke patients is a common challenge in clinical daily routine.