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Electrocardiographic changes following intracranial haemorrhage: a retrospective cohort study

Bassam E Yaghmoor1, Shayma M Alotaibi, Maryam Z Enani

  • 1Faculty of Medicine, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia.

Neurosciences (Riyadh, Saudi Arabia)
|May 1, 2020
PubMed

Insights

Electrocardiogram (ECG) abnormalities are common in patients with intracranial hemorrhage (ICH) but do not predict clinical outcomes. Close patient monitoring for ECG changes is still recommended during treatment.

Area of Science:

  • Neurology
  • Cardiology
  • Medical Diagnostics

Background:

  • Intracranial hemorrhage (ICH) presents diverse clinical challenges.
  • Electrocardiographic (ECG) findings in ICH patients require further investigation.
  • Understanding the link between ECG abnormalities and ICH outcomes is crucial.

Purpose of the Study:

  • To elucidate the association between ECG abnormalities and clinical outcomes in patients with all types of intracranial hemorrhage (ICH).
  • To identify specific ECG patterns related to different ICH subtypes and patient demographics.

Main Methods:

  • Retrospective cohort study of 291 ICH patients (228 adults, 63 children) without pre-existing cardiac or renal disease.
  • ECG records obtained within 24 hours of presentation, interpreted by a blinded cardiologist.
  • Demographic and clinical data collected from hospital records.

Main Results:

  • Nonspecific ST-segment changes were the most frequent ECG abnormality (32.6%).
  • Adults with neurological disease showed associations with atrioventricular block and QTc prolongation.
  • Pediatric patients had associations between ST-segment changes, sinus tachycardia, and ICH type.
  • No statistically significant association found between ECG changes and clinical outcomes in either adults or children.

Conclusions:

  • Frequent ECG abnormalities occur in ICH patients, but they do not reliably predict outcomes.
  • Continuous patient observation is essential to detect potentially treatment-altering ECG changes.
  • Further research may be needed to clarify the prognostic value of specific ECG findings in ICH.
Abstract

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