Document Detail


Relationship between QT Interval Dispersion in Acute Stroke and Stroke Prognosis: A Systematic Review.
MedLine Citation:
PMID:  25282188     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: QT dispersion (QTd) has been proposed as an indirect electrocardiography (ECG) measure of heterogeneity of ventricular repolarization. The predictive value of QTd in acute stroke remains controversial. We aimed to clarify the relationship between QTd and acute stroke and stroke prognosis.
METHODS: A systematic review of the literature was performed using prespecified medical subjects heading terms, Boolean logic, and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. Eligible studies included ischemic or hemorrhagic stroke and provided QTd measurements.
RESULTS: Two independent reviewers identified 553 publications. Sixteen articles were included in the final analysis. There were a total of 888 stroke patients: 59% ischemic and 41% hemorrhagic. There was considerable heterogeneity in study design, stroke subtypes, ECG assessment time, control groups, and comparison groups. Nine studies reported a significant association between acute stroke and baseline QTd. Two studies reported that QTd increases are specifically related to hemorrhagic strokes, involvement of the insular cortex, right-side lesions, larger strokes, and increases in 3,4-dihydroxyphenylethylene glycol in hemorrhagic stroke. Three studies reported QTd to be an independent predictor of stroke mortality. One study each reported increases in QTd in stroke patients who developed ventricular arrhythmias and cardiorespiratory compromise.
CONCLUSIONS: There are few well-designed studies and considerable variability in study design in addressing the significance of QTd in acute stroke. Available data suggest that stroke is likely to be associated with increased QTd. Although some evidence suggests a possible prognostic role of QTd in stroke, larger and well-designed studies need to confirm these findings.
Authors:
Yitzchok S Lederman; Clotilde Balucani; Jason Lazar; Leah Steinberg; James Gugger; Steven R Levine
Related Documents :
15253738 - Myocardial scintigraphy using a fatty acid analogue detects coronary artery disease in ...
14759378 - Value of low-dose dobutamine addition to routine dual isotope gated spect myocardial im...
222128 - Doughnut pattern of technetium-99m pyrophosphate myocardial uptake in patients with acu...
2783908 - Quantification of myocardial ischemia and infarction with single photon emission comput...
21864818 - Relation between left ventricular morphology and reduction in functional mitral regurgi...
7186758 - Effect of the time of the day on left ventricular systole and diastole dynamics.
Publication Detail:
Type:  REVIEW     Date:  2014-10-1
Journal Detail:
Title:  Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association     Volume:  -     ISSN:  1532-8511     ISO Abbreviation:  J Stroke Cerebrovasc Dis     Publication Date:  2014 Oct 
Date Detail:
Created Date:  2014-10-5     Completed Date:  -     Revised Date:  2014-10-6    
Medline Journal Info:
Nlm Unique ID:  9111633     Medline TA:  J Stroke Cerebrovasc Dis     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2014 National Stroke Association. Published by Elsevier Inc. All rights reserved.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  The Great Imitator-Still Today! A Case of Meningovascular Syphilis Affecting the Posterior Circulati...
Next Document:  Ankle-Brachial Index and Neurologic Deterioration in Acute Ischemic Stroke.