Dtsch Med Wochenschr 2004; 129(4): 151-156
DOI: 10.1055/s-2004-817604
Übersichten
Kardiologie / Neurologie
© Georg Thieme Verlag Stuttgart · New York

Neurokardiologische Akutmedizin

Neurocardiological acute careA. R. Luft1 , J. Waltenberger2
  • 1Abteilung für Allgemeine Neurologie (Direktor: Prof. Dr. J. Dichgans), Hertie Zentrum für klinische Hirnforschung, Universitätsklinikum Tübingen
  • 2Abteilung Kardiologie, Universitätsklinikum Maastricht, Niederlande
Further Information

Publication History

eingereicht: 29.4.2003

akzeptiert: 23.10.2003

Publication Date:
15 January 2004 (online)

Überschneidungsbereiche zwischen Neurologie und Kardiologie existieren in Klinik und Wissenschaft. Seit Mitte der 80er Jahre werden diese Ansätze unter dem Thema Neurokardiologie zusammengefasst. Fortschritte der vaskulären Neurologie, der Neurointensivmedizin und der Kardiologie erfordern eine enge Zusammenarbeit zwischen Neurologen und Kardiologen in der klinischen und wissenschaftlichen Praxis. Im Folgenden sollen interdisziplinäre neurokardiologische Ansätze aufgezeigt und diskutiert werden.

Literatur

  • 1 PROGRESS Collaborative group. Randomised trial of a perindopril-based blood-pressure-lowering regimen among 6,105 individuals with previous stroke or transient ischaemic attack.  Lancet. 2001;  358 1033-1041
  • 2 Adams H P, Brott T G, Crowell R M. et al . Guidelines for the management of patients with acute ischemic stroke: A statement for healthcare professionals from a special writing group of the Stroke Council, American Heart Association.  Stroke. 1994;  25 1901-1914
  • 3 Adams R E, Powers W J. Management of hypertension in acute intracerebral hemorrhage.  Crit Care Clin. 1997;  13 131-161
  • 4 Andersen H R, Nielsen T T, Rasmussen K. et al . A comparison of coronary angioplasty with fibrinolytic therapy in acute myocardial infarction.  N Engl J Med. 2003;  349 733-742
  • 5 Avierinos J F, Brown R D, Foley D A. et al . Cerebral ischemic events after diagnosis of mitral valve prolapse: a community-based study of incidence and predictive factors.  Stroke. 2003;  34 1339-1344
  • 6 Barker F G, Ogilvy C S. Efficacy of prophylactic nimodipine for delayed ischemic deficit after subarachnoid hemorrhage: a metaanalysis.  J Neurosurg. 1996;  84 405-414
  • 7 Barnett H J, Eliasziw M, Meldrum H E. Drugs and surgery in the prevention of ischemic stroke.  N Engl J Med. 1995;  332 238-248
  • 8 Barnett H J, Taylor D W, Eliasziw M. et al . Benefit of carotid endarterectomy in patients with symptomatic moderate or severe stenosis: North American Symptomatic Carotid Endarterectomy Trial Collaborators.  N Engl J Med. 1998;  339 1415-1425 (20)
  • 9 Bendszus M, Reents W, Franke D. et al . Brain damage after coronary artery bypass grafting.  Arch Neurol. 2002;  59 1090-1095
  • 10 Borowicz L M, Goldsborough M A, Selnes O A, McKhann G M. Neuropsychologic change after cardiac surgery: a critical review.  J Cardiothorac Vasc Anesth. 1996;  10 105-111
  • 11 Brignole M, Alboni P, Benditt D. et al . Guidelines on management (diagnosis and treatment) of syncope.  Eur Heart J. 2001;  22 1256-1306
  • 12 Broderick J P, Adams H P, Barsan W. et al . Guidelines for the management of spontaneous intracerebral hemorrhage: A statement for healthcare professionals from a special writing group of the Stroke Council, American Heart Association.  Stroke. 1999;  30 905-915
  • 13 Büdingen H J, Reutern G M. Ultraschalldiagnostik der hirnversorgenden Arterien. Stuttgart: Thieme 1994
  • 14 Cheung R T, Hachinski V. The insula and cerebrogenic sudden death.  Arch Neurol. 2000;  57 1685-1688
  • 15 Collins R, Armitage J, Parish S, Sleigh P, Peto R. MRC/BHF Heart Protection Study of cholesterol-lowering with simvastatin in 5963 people with diabetes: a randomised placebo-controlled trial.  Lancet. 2003;  361 2005-2016
  • 16 del S ol AI, Moons K G, Hollander M. et al . Is carotid intima-media thickness useful in cardiovascular disease risk assessment? The Rotterdam Study.  Stroke. 2001;  32 1532-1538
  • 17 Diener H C, Hacke W. Leitlinien für Diagnostik und Therapie in der Neurologie. Stuttgart: Thieme 2003
  • 18 Frysinger R C, Engel J, Harper R M. Interictal heart rate patterns in partial seizure disorders.  Neurology. 1993;  43 2136-2139
  • 19 Fuchs S, Stabile E, Kinnaird T D. et al . Stroke complicating percutaneous coronary interventions: incidence, predictors, and prognostic implications.  Circulation. 2002;  106 86-91
  • 20 Furlan A, Higashida R, Wechsler L. et al . Intra-arterial prourokinase for acute ischemic stroke. The PROACT II study: a randomized controlled trial. Prolyse in Acute Cerebral Thromboembolism.  JAMA. 1999;  282 2003-2011
  • 21 Gorelick P B, Sacco R L, Smith D B. et al . Prevention of a first stroke: a review of guidelines and a multidisciplinary consensus statement from the National Stroke Association (see comments).  JAMA. 1999;  281 1112-1120
  • 22 Grines C L, Cox D A, Stone G W. et al . Coronary angioplasty with or without stent implantation for acute myocardial infarction. Stent Primary Angioplasty in Myocardial Infarction Study Group.  N Engl J Med. 1999;  341 1949-1956
  • 23 Hacke W, Bluhmki E, Steiner T. et al . Dichotomized efficacy end points and global end-point analysis applied to the ECASS intention-to-treat data set: post hoc analysis of ECASS I.  Stroke. 1998;  29 2073-2075
  • 24 Heiserman J E, Dean B L, Hodak J A. et al . Neurologic complications of cerebral angiography.  AJNR Am J Neuroradiol. 1994;  15 1401-1407
  • 25 Hillis A E, Ulatowski J A, Barker P B. et al . A pilot randomized trial of induced blood pressure elevation: effects on function and focal perfusion in acute and subacute stroke.  Cerebrovasc Dis. 2003;  16 236-246
  • 26 Hoh B L, Carter B S, Ogilvy C S. Risk of hemorrhage from unsecured, unruptured aneurysms during and after hypertensive hypervolemic therapy.  Neurosurgery. 2002;  50 1207-1211
  • 27 Homma S, Di Tullio M R, Sacco R L, Sciacca R R, Smith C, Mohr J P. Surgical closure of patent foramen ovale in cryptogenic stroke patients.  Stroke. 1997;  28 2376-2381
  • 28 Homma S, Sacco R L, Di Tullio M R, Sciacca R R, Mohr J P. Effect of medical treatment in stroke patients with patent foramen ovale: patent foramen ovale in Cryptogenic Stroke Study.  Circulation. 2002;  105 2625-2631
  • 29 Horn J, Limburg M. Calcium antagonists for ischemic stroke: a systematic review.  Stroke. 2001;  32 570-576
  • 30 Johannessen K A, Nordrehaug J E, von der Lippe G, Vollset S E. Risk factors for embolisation in patients with left ventricular thrombi and acute myocardial infarction.  Br Heart J. 1988;  60 104-110
  • 31 Kastrup A, Skalej M, Krapf H, Nagele T, Dichgans J, Schulz J B. Early outcome of carotid angioplasty and stenting versus carotid endarterectomy in a single academic center.  Cerebrovasc Dis. 2003;  15 84-89
  • 32 Law M R, Wald N J, Rudnicka A R. Quantifying effect of statins on low density lipoprotein cholesterol, ischaemic heart disease, and stroke: systematic review and meta-analysis.  BMJ. 2003;  326 1423
  • 33 Lewandowski C A, Frankel M, Tomsick T A. et al . Combined intravenous and intra-arterial r-TPA versus intra-arterial therapy of acute ischemic stroke: Emergency Management of Stroke (EMS) Bridging Trial.  Stroke. 1999;  30 2598-2605
  • 34 Mas J L, Arquizan C, Lamy C. et al . Recurrent cerebrovascular events associated with patent foramen ovale, atrial septal aneurysm, or both.  N Engl J Med. 2001;  345 1740-1746
  • 35 Mattioli A V, Tarabini C E, Mattioli G. Stroke in paced patients with sick sinus syndrome: influence of left atrial function and size.  Cardiology. 1999;  91 150-155
  • 36 Mayberg M R, Batjer H H, Dacey R. et al . Guidelines for the management of aneurysmal subarachnoid hemorrhage. A statement for healthcare professionals from a special writing group of the Stroke Council, American Heart Association.  Circulation. 1994;  90 2592-2605
  • 37 Moses J W, Leon M B, Popma J J. et al . Sirolimus-eluting stents versus standard stents in patients with stenosis in a native coronary artery.  N Engl J Med. 2003;  349 1315-1323
  • 38 Newman M F, Wolman R, Kanchuger M. et al . Multicenter preoperative stroke risk index for patients undergoing coronary artery bypass graft surgery. Multicenter Study of Perioperative Ischemia (McSPI) Research Group.  Circulation. 1996;  94 II74-II80 (Suppl 9)
  • 39 Nussmeier N A. A review of risk factors for adverse neurologic outcome after cardiac surgery.  J Extra Corpor Technol. 2002;  34 4-10
  • 40 O’Leary D H, Polak J F, Kronmal R A, Manolio T A, Burke G L, Wolfson S K. Carotid-artery intima and media thickness as a risk factor for myocardial infarction and stroke in older adults. Cardiovascular Health Study Collaborative Research Group.  N Engl J Med. 1999;  340 14-22
  • 41 Onorato E, Melzi G, Casilli F. et al . Patent foramen ovale with paradoxical embolism: mid-term results of transcatheter closure in 256 patients.  J Interv Cardiol. 2003;  16 43-50
  • 42 Pitzalis M, Massari F, Guida P. et al . Shortened head-up tilting test guided by systolic pressure reductions in neurocardiogenic syncope.  Circulation. 2002;  105 146-148
  • 43 Saour J N, Sieck J O, Mamo L A, Gallus A S. Trial of different intensities of anticoagulation in patients with prosthetic heart valves.  N Engl J Med. 1990;  322 428-432
  • 44 Schrader J, Luders S, Kulschewski A. et al . The ACCESS Study: evaluation of Acute Candesartan Cilexetil Therapy in Stroke Survivors.  Stroke. 2003;  34 1699-1703
  • 45 The National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group . Tissue plasminogen activator for acute ischemic stroke.  N Engl J Med. 1995;  333 1581-1587
  • 46 The Stroke Prevention in Atrial Fibrillation Investigators . Design of a multicenter randomized trial for the Stroke Prevention in Atrial Fibrillation Study.  Stroke. 1990;  21 538-545
  • 47 Venkataraman V, Wheless J W, Willmore L J, Motookal H. Idiopathic cardiac asystole presenting as an intractable adult onset partial seizure disorder.  Seizure. 2001;  10 359-364
  • 48 Vliegenthart R, Hollander M, Breteler M M. et al . Stroke is associated with coronary calcification as detected by electron-beam CT: the Rotterdam Coronary Calcification Study.  Stroke. 2002;  33 462-465
  • 49 Wijdicks E F, Vermeulen M, Murray G D, Hijdra A, van Gijn J. The effects of treating hypertension following aneurysmal subarachnoid hemorrhage.  Clin Neurol Neurosurg. 1990;  92 111-117
  • 50 Zaroff J G, Rordorf G A, Newell J B, Ogilvy C S, Levinson J R. Cardiac outcome in patients with subarachnoid hemorrhage and electrocardiographic abnormalities.  Neurosurgery. 1999;  44 34-39
  • 51 Zunker P, Wilms H, Brossmann J, Georgiadis D, Weber S, Deuschl G. Echo contrast-enhanced transcranial ultrasound: frequency of use, diagnostic benefit, and validity of results compared with MRA.  Stroke. 2002;  33 2600-2603

Prof. Dr. Johannes Waltenberger

Department of Cardiology, University Hospital Maastricht

P. Debyelaan 25

P.O.Box 5800

6202 AZ Maastricht

The Netherlands

Phone: +31/43/3875106

Fax: +31/43/3875104

Email: j.waltenberger@cardio.azm.nl