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.