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Electrocardiographic abnormalities in patients with intracerebral hemorrhage

Qing Liu1, Yanhui Ding, Pengcheng Yan

  • 1Department of Clinical Research Center, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China. qingliu5566@yahoo.cn

Acta Neurochirurgica. Supplement
|July 5, 2011
PubMed

Insights

Electrocardiographic abnormalities are common in patients with intracerebral hemorrhage (ICH), affecting over 67% of cases. These heart rhythm changes are linked to hematoma location and patient outcomes, not lesion severity.

Area of Science:

  • Neurology
  • Cardiology
  • Clinical Medicine

Background:

  • Stroke often causes electrocardiographic (ECG) changes.
  • ECG abnormalities are well-documented in ischemic stroke and subarachnoid hemorrhage.
  • Systematic investigation of ECG changes in intracerebral hemorrhage (ICH) is limited.

Purpose of the Study:

  • To determine the prevalence and characteristics of ECG abnormalities in patients with ICH.
  • To explore the relationship between ECG changes, hematoma location, and clinical outcomes in ICH patients without prior heart disease.

Main Methods:

  • Retrospective analysis of 304 patients with acute intracerebral hemorrhage.
  • Detailed analysis of ECG changes, including waveform morphology and arrhythmias.
  • Investigation of correlations between ECG abnormalities, hematoma location, and patient outcomes.

Main Results:

  • Over two-thirds of patients (67.1%) exhibited one or more ECG abnormalities.
  • Common findings included QTc prolongation, ST-T wave changes, sinus bradycardia, inverted T waves, and conduction blocks.
  • ECG changes correlated with hematoma location and clinical outcome, but not with lesion level.

Conclusions:

  • ECG abnormalities are frequent in intracerebral hemorrhage.
  • The observed ECG changes are associated with the location of the cerebral lesion and the patient's outcome.
  • These findings highlight the cardiac impact of ICH, independent of lesion severity.
Abstract

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