Clara Hjalmarsson 1 , Lennart Bergfeldt , Lena Bokemark , Karin Manhem , Björn Andersson Show Affiliations »
Abstract
BACKGROUND: Cerebrovascular lesions are often associated with electrocardiographic (ECG) abnormalities. The main purpose of this work was to investigate the prognostic value of ECG abnormalities and/or elevated cardiac troponin (cTNT) on admission in patients with nontraumatic intracerebral hemorrhage (ICH). METHODS: Ninety-seven consecutive patients with ICH were included. The predictive value of ECG abnormalities and increased TNT on survival were evaluated using Cox proportional hazard model. RESULTS: The most frequently observed ECG abnormalities were the presence of a Q wave (39.6%), followed by prolonged QTc (>0.44 s; 35.4%), which was an independent predictor for long-term mortality (P = 0.019). No difference in QTc was observed between patients with right versus left ICH. Increased cTNT levels at admission had no prognostic value. CONCLUSION: Various ECG changes were common in patients presenting with an ICH, but only prolonged QTc was found to be an independent predictor of poor survival during follow-up after ICH. ©2013 Wiley Periodicals, Inc.
BACKGROUND: Cerebrovascular lesions are often associated with electrocardiographic (ECG) abnormalities. The main purpose of this work was to investigate the prognostic value of ECG abnormalities and/or elevated cardiac troponin (cTNT ) on admission in patients with nontraumatic intracerebral hemorrhage (ICH ). METHODS: Ninety-seven consecutive patients with ICH were included. The predictive value of ECG abnormalities and increased TNT on survival were evaluated using Cox proportional hazard model. RESULTS: The most frequently observed ECG abnormalities were the presence of a Q wave (39.6%), followed by prolonged QTc (>0.44 s; 35.4%), which was an independent predictor for long-term mortality (P = 0.019). No difference in QTc was observed between patients with right versus left ICH . Increased cTNT levels at admission had no prognostic value. CONCLUSION: Various ECG changes were common in patients presenting with an ICH , but only prolonged QTc was found to be an independent predictor of poor survival during follow-up after ICH . ©2013 Wiley Periodicals, Inc.
Entities: Chemical
Disease
Gene
Species
Keywords:
ECG; QTc; cTNT; intracerebral hemorrhage; stroke prognosis
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Year: 2013
PMID： 24047488 PMCID： PMC6931947 DOI： 10.1111/anec.12056
Source DB: PubMed Journal: Ann Noninvasive Electrocardiol ISSN： 1082-720X Impact factor: 1.468