Electrocardiographic and Echocardiographic Changes in Subarachnoid Hemorrhage and Their Final Impact on Early Outcome: A Prospective Study Before and After the Treatment

Shokoufeh Hajsadeghi, Reza Mollahoseini, Babak Alijani, Nazli Sadeghi, Mohammad Javad Manteghi, Mohammad Hossein Lashkari, Morteza Hassanzadeh

Abstract


Background: We aimed to prospectively investigate the changes in the electrocardiography (ECG) and the echocardiography of the patients with subarachnoid hemorrhage (SAH) before and after treatment, and to evaluate the overall role of the findings on early patients’ outcome.

Methods: All consecutive patients with SAH were evaluated with on-admission ECG and echocardiography. For those with an abnormal result, a second evaluation was performed after the therapeutic interventions. All of the participants were followed until discharged or possibly expired in the hospital. Proper statistical methods were used to compare the changes between the two groups of the patients: the “expired” group, and the “discharged” group.

Results: Of the total of 60 subjects, 25 (41.6%) and three (5%) had an abnormal ECG and echocardiography that were dropped to four (6.7%) and one (1.7%) after treatment, respectively. The most frequent ECG finding was T-wave inversion. Six subjects (10%) were expired in the hospital. Abnormal primary ECG was found in five out of the six dead subjects (83.3%) and 20 out of the 54 discharged ones (37%) (P = 0.029). None of the three patients with abnormal primary echocardiograms were expired during the hospitalization.

Conclusion: Most SAH-induced changes in the ECG and the echocardiography are transient and reversible. Abnormal ECG is a good predictor of inpatient mortality, but abnormal echocardiography is not.




J Neurol Res. 2015;5(1-2):181-185
doi: http://dx.doi.org/10.14740/jnr317w

 


Keywords


Subarachnoid hemorrhage; Electrocardiography; Echocardiography; Outcome

Full Text: HTML PDF
 

Browse  Journals  

 

Journal of Clinical Medicine Research

Journal of Endocrinology and Metabolism

Journal of Clinical Gynecology and Obstetrics

 

World Journal of Oncology

Gastroenterology Research

Journal of Hematology

 

Journal of Medical Cases

Journal of Current Surgery

Clinical Infection and Immunity

 

Cardiology Research

World Journal of Nephrology and Urology

Cellular and Molecular Medicine Research

 

Journal of Neurology Research

International Journal of Clinical Pediatrics

 

 
       
 

Journal of Neurology Research, biannually, ISSN 1923-2845 (print), 1923-2853 (online), published by Elmer Press Inc.                     
The content of this site is intended for health care professionals.
This is an open-access journal distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted
non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International CC-BY-NC 4.0)


This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website: www.neurores.org   editorial contact: editor@neurores.org    elmer.editorial@hotmail.com
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.


Disclaimer: The views and opinions expressed in the published articles are those of the authors and do not necessarily reflect the views or opinions of the editors and Elmer Press Inc. This website is provided for medical research and informational purposes only and does not constitute any medical advice or professional services. The information provided in this journal should not be used for diagnosis and treatment, those seeking medical advice should always consult with a licensed physician.