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ECG change of acute subarachnoid hemorrhagic patients

Qing Liu1, Yan-Hui Ding, John H Zhang

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

Acta Neurochirurgica. Supplement
|July 5, 2011
PubMed

Insights

Electrocardiogram (ECG) abnormalities are common in acute subarachnoid hemorrhage (SAH) patients. However, these initial ECG findings do not appear to correlate with lesion severity or patient prognosis.

Area of Science:

  • Cardiology
  • Neurology
  • Critical Care Medicine

Background:

  • Acute subarachnoid hemorrhage (SAH) is a critical neurological condition.
  • Electrocardiographic (ECG) changes are frequently observed in SAH patients.
  • The prognostic significance of initial ECG abnormalities in SAH remains unclear.

Purpose of the Study:

  • To determine if baseline ECG abnormalities in acute subarachnoid hemorrhage (SAH) patients correlate with lesion severity.
  • To investigate the relationship between initial ECG findings and patient outcome prognosis in SAH.

Main Methods:

  • A cohort of 106 patients with acute SAH, confirmed by head CT and without prior heart disease, was retrospectively analyzed.
  • Data collected included baseline ECG parameters, neurological status, lesion degree, and patient outcomes.
  • Logistic regression analysis was employed to assess relationships between variables.

Main Results:

  • A high incidence of abnormal ECG findings (63.2%) was observed in the SAH cohort.
  • Specific abnormalities included allorhythmia (22.6%), repolarization abnormalities (14.2%), conduction abnormalities (1.9%), and combined abnormalities (21.7%).
  • No significant association was found between ECG changes and the initial consciousness state, lesion degree, or outcome prognosis (P=0.0844).

Conclusions:

  • Initial electrocardiographic abnormalities in patients with acute subarachnoid hemorrhage do not appear to be associated with lesion severity.
  • These baseline ECG findings do not predict outcome prognosis in patients with acute SAH.
  • Further research may be needed to explore other potential predictors of prognosis in SAH.
Abstract

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