自发下大脑下出血患者心电图的变化:一个横截面研究
Binod Poudel1, Prasanna Karki1, Samjhana Panta2
1Internal Medicine, Tribhuvan University Institute of Medicine, Kathmandu, NPL.
Cureus
|July 10, 2023
概括
电心电图 (ECG) 异常常见于脑下关节出血 (SAH) 患者中,近90%的患者显示变化. 最常见的心电图发现包括QTc延长和T波异常,突出了它们的临床意义.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 医学诊断 医学诊断 医学诊断
背景情况:
- 电心电图 (ECG) 变化经常被观察到在被诊断为下大脑关节出血 (SAH) 的患者中.
- 非创伤性下关节出血为评估心脏表现提供了特定的临床背景.
研究的目的:
- 为了确定心电图 (ECG) 异常在患有非创伤性脑下关节出血 (SAH) 的患者中的患病率.
- 确定与SAH相关的最常见类型的ECG变化.
主要方法:
- 采用了回顾性,横截面的研究设计.
- 分析了45名SAH患者的ECG记录,这些患者于2019年入院于Tribhuvan大学教学医院.
- 该研究的重点是检测和分类心电图异常.
主要成果:
- 发现了高频率的心电图异常,88.8%的患者表现出某种形式的变化.
- 最常见的异常包括QTc延长 (35.5%),T波异常 (24.4%) 和胸 (24.4%).
- 其他观察到的变化包括ST抑郁,突出的U波,心房动和早发性心室收缩.
结论:
- 在SAH患者中,ECG上的形态和节律异常常见.
- 这些心电图发现可能会导致诊断挑战和潜在的不必要的调查.
- 需要进一步的研究,以了解SAH中心电图变化的临床意义和预后价值.
相关概念视频
Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations
21
The pathophysiology of Acute Coronary Syndrome [ACD] involves several key processes:The main underlying cause of ACD is atherosclerosis, a chronic inflammatory disease characterized by the buildup of lipid-laden plaques within the coronary arteries.As the atherosclerotic plaque grows in the coronary artery, it may become unstable due to the formation of a lipid-rich core and a thin fibrous cap. Inflammatory cells within the plaque, such as macrophages, secrete enzymes that degrade the...
21
Aneurysm II: Clinical Manifestations and Diagnostic Studies
10
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
10
Acute Coronary Syndrome III: Diagnostic Studies
10
Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
10
Dysrhythmias IV: Characteristics of Bradyarrhythmias
12
Bradyarrhythmias are cardiac rhythm disorders characterized by a slower-than-normal heart rate, typically defined as fewer than 60 beats per minute. Some of which are discussed here:Sinus BradycardiaSinus bradycardia presents a heart rate lower than 60 beats per minute, with a regular rhythm originating from the SA node. The ECG typically shows normal P waves preceding each QRS complex, a normal PR interval (0.12 to 0.20 seconds), and a normal QRS duration (0.06 to 0.10 seconds).First-Degree AV...
12
Disturbances in Heart Rhythm
1.0K
Arrhythmia or dysrhythmia refers to an abnormal heart rhythm caused by a defect in the heart's conduction system. It can cause the heart to beat irregularly, too quickly, or too slowly, leading to symptoms like chest pain, shortness of breath, and fainting. Factors such as stress, caffeine, alcohol, nicotine, cocaine, certain drugs, congenital defects, diseases, and electrolyte abnormalities can trigger arrhythmias.
Arrhythmias are categorized by their speed, rhythm, and origin. A slow...
Arrhythmias are categorized by their speed, rhythm, and origin. A slow...
1.0K
Dysrhythmias III: Characteristics of Dysrhythmias
12
Dysrhythmias, also known as arrhythmias, are irregular heart rhythms that result from abnormal electrical activity in the heart, affecting its ability to circulate blood efficiently. Tachyarrhythmias, a subset of dysrhythmias, are characterized by abnormally fast heart rates exceeding 100 beats per minute. Here are some types of tachyarrhythmias with their distinct ECG features:Sinus Tachycardia:Sinus tachycardia presents a regular heart rhythm with an increased rate of 101-180 beats per...
12


