Abstract:Objective To explore the relationship between the site of acute hemorrhagic stroke and ECG changes.Methods The ECG data of 156 patients diagnosed with acute hemorrhagic stroke by CT were made a systematic review. Among them were 134 cases with spontaneous hemorrhagic stroke and 22 with traumatic subarachnoid hemorrhage. The incidences of ECG abnormalities and QTc interval prolongation were compared among acute hemorrhagic stroke locating at different sites. The abnormal ECG changes of 104 patients with spontaneous hemorrhagic stroke were statistically analyzed. The incidences of ECG abnormalities and QTc interval prolongation in abnormal ECGs were made comparison between the patients separately with spontaneous and traumatic subarachnoid hemorrhage. Results Brainstem hemorrhage and spontaneous subarachnoid hemorrhage could easily result in ECG abnormalities while the lowest abnormal rate of ECG was found in patients with lobar hemorrhage. Spontaneous subarachnoid hemorrhage was prone to lead to QTc interval prolongation, which significantly varied from lobar hemorrhage. Spontaneous subarachnoid hemorrhage was more likely to be complicated by ECG abnormalities than traumatic subarachnoid hemorrhage. Conclusion Patients with acute hemorrhagic stroke tend to suffer from cerebrocardiac syndrome on whom ECG monitoring and nursing are required to be strengthened.
孙楠, 梅勇, 王德国, 王安才. 急性出血性卒中致心电图改变研究[J]. 实用心电学杂志, 2018, 27(2): 77-81.
SUN Nan, MEI Yong, WANG De-Guo, WANG An-Cai. Study on ECG changes caused by acute hemorrhagic stroke. JOURNAL OF PRACTICAL ELECTROCARDIOLOGY, 2018, 27(2): 77-81.