根據(jù)一項(xiàng)最新研究發(fā)現(xiàn)，為了檢測(cè)“沉默型”或者新發(fā)心臟疾病，所有因腦卒中入院的患者在腦卒中發(fā)病至少24小時(shí)以內(nèi)，都應(yīng)當(dāng)接受持續(xù)心臟節(jié)律監(jiān)測(cè)(遠(yuǎn)距測(cè)定法)。

與那些沒有接受監(jiān)測(cè)的患者相比較，接受遠(yuǎn)距離監(jiān)測(cè)患者更容易發(fā)現(xiàn)心血管危險(xiǎn)因素。除此之外，在入院后心臟節(jié)律出現(xiàn)改變的患者，比那些節(jié)律保持穩(wěn)定的患者，更加容易發(fā)生冠狀動(dòng)脈疾病。在接受遠(yuǎn)距離心率監(jiān)測(cè)的所有患者中，出現(xiàn)新節(jié)律的患者以前都沒有心率不齊病史。因此研究人員建議，在入院之后所有的患者都應(yīng)當(dāng)接受監(jiān)測(cè)。這些研究結(jié)果發(fā)表在2006年2月Kissimmee(Florida, USA)舉行的美國(guó)腦卒中學(xué)會(huì)國(guó)際會(huì)上進(jìn)行了報(bào)道。

Telemetry Reveals Stroke Patients’ Cardiac Problems
 
To detect “silent” or new cardiac abnormalities, all patients hospitalized for stroke should be under continuous cardiac rhythm monitoring (telemetry) for at least the first 24 hours after the stroke is detected, according to a new study.

Cardiovascular risk factors were discovered more frequently in the patients placed on telemetry as compared to those who were not monitored. In addition, patients whose cardiac rhythms changed following admission had a higher percentage of coronary artery disease than those whose rhythms remained static. All patients found to have a new rhythm following telemetry monitoring had no previous history of arrhythmia. The authors therefore suggest that upon admission to the hospital, all patients should be monitored. The findings were presented at the American Stroke Association's international conference, held in February 2006 in Kissimmee (Florida, USA).