Abstract: To analyze the relationship between acute cerebrovascular diseases with secondary coronary heart diseases, 116 cases of brain-heart syndrome (BHS) and 119 cases of non-brain-heart syndrome (NBHS) were analyzed contrastively. The result showed that BHS was found more commonly in the old men. About 68.6% of patients were with an average age older than 70 years old. The occurrence of BHS were associated with stroke type, lesion location and the severity of disease . In these BHS patients, brain hemorrhage (67.37%) was found more commonly than brain embolism (25.86%). Intraventricular hemorrhage or brainstem press always indicated a high BHS occurrence accompanied with a bad prognosis and high mortality. The main cause of death is pump failure. Some key points for treatment are earlier diagnosis, release from high ICP, ECG monitoring, prevention from pump failure and timely adjustment of arrhythmia.

Key words: old patient, brain-heart syndrome, pump failure