Document Detail

The relationship between electrocardiographic abnormalities and location of the intracranial aneurysm in subarachnoid hemorrhage.
MedLine Citation:
PMID:  12877706     Owner:  NLM     Status:  MEDLINE    
The purpose of this study was to determine the value of the ECG in subarachnoid hemorrhage (SAH) in predicting poor outcome, and to define if specific ECG changes are related to the location of the aneurysm in SAH. A retrospective cohort study was performed on 97 patients with symptoms of SAH. An ECG and an initial computer tomograph (CT) scan were the two major inclusion criteria. The primary endpoint was in hospital mortality. ECG changes were correlated with mortality and severity of hemorrhage expressed as the Hijdra score. A prolonged QTc interval occurred more frequently in patients who had experienced a severe hemorrhage (RR = 3.18; 95% CI = 1.07-10.22; P < 0.05). LV hypertrophy criteria were strongly related to an aneurysm in the anterior communicating artery. U wave presence showed a statistically significant relationship with the posterior communicating artery and the middle cerebral artery. A prolonged QTc interval is observed more frequently in patients with severe hemorrhage. Specific ECG abnormalities were seen to be associated with the location of the aneurysm in the circle of Willis in SAH.
A Lorsheyd; T A Simmers; E O Robles De Medina
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pacing and clinical electrophysiology : PACE     Volume:  26     ISSN:  0147-8389     ISO Abbreviation:  Pacing Clin Electrophysiol     Publication Date:  2003 Aug 
Date Detail:
Created Date:  2003-07-24     Completed Date:  2003-12-16     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7803944     Medline TA:  Pacing Clin Electrophysiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1722-8     Citation Subset:  IM    
Department of Cardiology, University Medical Center, Heidelberglaan, Utrecht, The Netherlands.
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MeSH Terms
Aged, 80 and over
Arrhythmias, Cardiac / physiopathology*
Chi-Square Distribution
Intracranial Aneurysm / physiopathology*
Middle Aged
Retrospective Studies
Subarachnoid Hemorrhage / physiopathology*

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

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