Fluctuating Electrocardiographic Changes Predict Poor Outcomes After Acute Subarachnoid Hemorrhage.
作者： Javier Provencio , Hesham Elsharkawy , Alaa Abd-Elsayed , John Tetzlaff , Sherif El-Hadi
DOI:
关键词: Subarachnoid hemorrhage 、 Incidence (epidemiology) 、 Medicine 、 QT interval 、 Anesthesia 、 Internal medicine 、 Clipping (medicine) 、 Aneurysm 、 Cardiology 、 In patient 、 ST segment 、 Electrocardiography
摘要: Background: Electrocardiogram (ECG) abnormalities following aneurysmal subarachnoid hemorrhage (SAH) have been well documented. Evidence suggests that ECG changes and cardiac dysfunction worsen outcome. Determining which patients are at most risk is unclear but important to ascertain. Methods: We prospectively studied clinical markers, abnormalities, outcomes in 20 admitted within 48 hours of SAH. All had ECGs prior surgical clipping, during the clipping surgery, postoperative period. Results: The aneurysm was located anterior circulation 17 (85%) posterior 3 (15%). Abnormal with acute SAH were observed, a total incidence rate 65%. T wave 53.8% among changes, 46.2% ST segment change, 30.8% QT interval prolongation. Of 13 4 (30.8%) fluctuating abnor...
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