RT Journal Article
SR Electronic
T1 Electrocardiographic changes following intracranial haemorrhage: a retrospective cohort study
JF Neurosciences Journal
JO Neurosciences (Riyadh)
FD Prince Sultan Military Medical City
SP 104
OP 111
DO 10.17712/nsj.2020.2.20190109
VO 25
IS 2
A1 Bassam E. Yaghmoor
A1 Shayma M. Alotaibi
A1 Maryam Z. Enani
A1 Hussam S. AlQudsi
A1 Masaheer A. Aljehani
A1 Mshari H. Althomali
A1 Fatimah M. Hisan
A1 Ghaidaa J. Sindi
A1 Naeem A. Alshoaibi
A1 Abdulrahman J. Sabbagh
YR 2020
UL http://nsj.org.sa/content/25/2/104.abstract
AB Objectives: To improve the understanding of the association between electrocardiographic (ECG) abnormalities and clinical outcomes of patients with all types of intracranial hemorrhage (ICH).Methods: A retrospective cohort study was conducted in a tertiary healthcare hospital on patients with ICH without cardiac disease or renal disease requiring dialysis. Demographic and clinical data were collected from hospital records. ECG record were obtained within 24 hours of presentation and prior to treatment. Records were interpreted for this study by a cardiologist blinded to other data.Results: Assessment of 291 patients (228 adults and 63 children) showed that subdural hemorrhage was the most common type of ICH (31.6%) followed by intraparenchymal hemorrhage (23.0%). ECG records were available for 98 patients. ECG abnormalities were most commonly nonspecific ST-segment changes (32.6%). In adults, history of neurological disease was associated with atrioventricular block (p=.004) and QTc prolongation (p=.041). Pediatric patients exhibited associations between ST-segment changes (p=.045) and sinus tachycardia (p=.027) and type of ICH. However, ECG changes were not statistically associated with clinical outcomes in adults or children.Conclusion: Significant ECG changes frequently occurred in patients with all types of ICH but did not consistently predict the outcome in this study. Close observation of patients is still recommended to detect ECG changes that could affect the treatment.