Study on cardiac autonomic nervous function and heart function in patients with acute cerebral infarction
Objective To evaluate the prognosis and state of illness by studying the cardiac autonomic nervous function and heart function in patients with acute cerebral infarction. Methods HRV and LVEF of 89 patients with the first onset of acute cerebral infarction(observation group) and 80 healthy people(control group) were detected, ECG changes of different parts and prognosis in all patients were observed, HRV and LVEF of two groups were analyzed comparatively. Results ECG change rate was 65.1% in patients with acute cerebral infarction, ECG change rate of brainstem lesions was significantly higher than basal ganglia, thalamic lesions and brain lobes, cortical lesions(P <0.05), ECG change rate of basal ganglia, thalamic lesions was higher than brain lobes, cortical lesions. HF, LF, TF, SDNN, RMSSD and LVEF of observation group were lower than control group significantly(P <0.05). 4 patients with ECG changes died, prognosis in patients with ECG changes was poor than patients without ECG changes, HRV and LVEF was lower in patients with ECG changes. Conclusion The closer of Infarction focus and cardiovascular center, the more ECG changes, HRV and LVEF decreases with cerebral infarction exacerbation.