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Published on: July 14, 2023
[Electrocardiographic predictors of the poor outcome of hemorrhagic stroke]
A T Khairullin1, M A Kutlubaev2, N Sh Zagidullin2
1Dyurtyuli Central District Hospital, Dyurtyuli, Russia.
Insights
Prolonged corrected QT interval (QTc) on electrocardiograms (ECG) predicts poor outcomes in hemorrhagic stroke patients. This ECG finding indicates a higher risk of cardiac complications and death within 90 days.
Area of Science:
- Cardiology
- Neurology
- Medical Diagnostics
Background:
- Hemorrhagic stroke is a critical neurological event.
- Electrocardiogram (ECG) monitoring is vital in acute stroke care.
- Predicting outcomes in hemorrhagic stroke remains challenging.
Purpose of the Study:
- To investigate the association between acute-phase ECG parameters and 90-day outcomes in hemorrhagic stroke patients.
- To identify specific ECG predictors of poor prognosis.
Main Methods:
- Analysis of ECG data from 133 hemorrhagic stroke patients upon admission.
- Correlation of ECG findings with 90-day mortality and complications.
Main Results:
- Eighteen percent of patients experienced mortality within 90 days.
- Prolongation of the corrected QT interval (QTc) was the sole identified ECG predictor of poor outcome.
- Abnormal QTc indicated increased risk for cardiac complications and death.
Conclusions:
- Corrected QT interval (QTc) length is a significant prognostic indicator in hemorrhagic stroke.
- ECG assessment, particularly QTc, aids in risk stratification for hemorrhagic stroke patients.
- Monitoring QTc may help anticipate cardiac complications and mortality.
Objective:
To analyze the relationship between electrocardiogram (ECG) parameters in the acute period of hemorrhagic stroke and its poor outcome within 90 days.
Material And Methods:
ECG data of 133 patients with hemorrhagic stroke recorded upon admission to the primary vascular department were analyzed.
Results:
Eighteen percent out of 133 patients died within 90 days. The only ECG-predictor of the poor outcome of hemorrhagic stroke was the prolongation of corrected QT interval (QTc).
Conclusion:
The length of QTc should be taken into account while assessing patients with hemorrhagic stroke. The patients with the abnormal QTc are at higher risk of the development of cardiac complications and death.
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