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Khayrullin A.T.

Dyurtyuli Central District Hospital

Kutlubaev M.A.

Bashkir State Medical University

Zagidullin N.S.

Bashkir State Medical University

Rakhmatullin A.R.

Bashkir State Medical University

Electrocardiographic predictors of the poor outcome of hemorrhagic stroke

Authors:

Khayrullin A.T., Kutlubaev M.A., Zagidullin N.S., Rakhmatullin A.R.

More about the authors

Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2022;122(8‑2): 61‑64

DOI: 10.17116/jnevro202212208261

Read: 1511 times

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Table of contents

ELECTROCARDIOGRAPHIC PREDICTORS OF THE POOR OUTCOME OF HEMORRHAGIC STROKE
ELECTROCARDIOGRAPHIC PREDICTORS OF THE POOR OUTCOME OF HEMORRHAGIC STROKE

To cite this article:

Khayrullin AT, Kutlubaev MA, Zagidullin NS, Rakhmatullin AR. Electrocardiographic predictors of the poor outcome of hemorrhagic stroke. S.S. Korsakov Journal of Neurology and Psychiatry. 2022;122(8‑2):61‑64. (In Russ.)
https://doi.org/10.17116/jnevro202212208261

Подписка 2026 Журнал неврологии и психиатрии им. С.С. Корсакова. Спецвыпуски (S.S. Korsakov Journal of Neurology and Psychiatry (special issues))
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To analyze the relationship between electrocardiogram (ECG) parameters in the acute period of hemorrhagic stroke and its poor outcome within 90 days.

MATERIAL AND METHODS

ECG data of 133 patients with hemorrhagic stroke recorded upon admission to the primary vascular department were analyzed.

RESULTS

Eighteen percent out of 133 patients died within 90 days. The only ECG-predictor of the poor outcome of hemorrhagic stroke was the prolongation of corrected QT interval (QTc).

CONCLUSION

The length of QTc should be taken into account while assessing patients with hemorrhagic stroke. The patients with the abnormal QTc are at higher risk of the development of cardiac complications and death.

Keywords:

hemorrhagic stroke
ECG
intraventricular conduction
QT interval
outcomes

Authors:

Khayrullin A.T.

Dyurtyuli Central District Hospital

Kutlubaev M.A.

Bashkir State Medical University

Zagidullin N.S.

Bashkir State Medical University

Rakhmatullin A.R.

Bashkir State Medical University

Received:

19.04.2022

Accepted:

20.04.2022

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References:

  1. Khayrullin AT, Kutlubaev MA, Rakhmatullin AR, et al. Clinical and laboratory predictors of unfavorable outcome in hemorrhagic stroke. Zhurnal Nevrologii i Psikhiatrii im. S.S. Korsakova. 2022;122(3 vyp 2):17-21. (In Russ.). https://doi.org/10.17116/jnevro202212203217
  2. Ruthirago D, Julayanont P, Tantrachoti P, et al. Cardiac Arrhythmias and Abnormal Electrocardiograms After Acute Stroke. Am J Med Sci. 2016;351(1):112-118.  https://doi.org/10.1016/j.amjms.2015.10.020
  3. Suslina ZA, Piradov MA, Domashenko MA. Stroke: the review of the problem (15 years after). Zhurnal Nevrologii i Psihiatrii im. S.S. Korsakova. 2014;114(11):5-13. (In Russ.).
  4. Ahn SH, Lee JS, Kim YH, et al. Prognostic Significance of Prolonged Corrected QT Interval in Acute Ischemic Stroke. Front Neurol. 2021;12:759822. https://doi.org/10.3389/fneur.2021.759822
  5. Hatano S. Experience from a multicentre stroke register: a preliminary report. Bull World Health Organ. 1976;54(5):541-553. 
  6. Orlov VN. Manual on electrocardiography. 9th edition. M.: «Meditsinskoe informatsionnoe agentstvo». 2017;560. (In Russ.).
  7. Spilker J, Kongable G, Barch C, et al. Using the NIH Stroke Scale to assess stroke patients. The NINDS rt-PA Stroke Study Group. J Neurosci Nurs. 1997;29(6):384-392.  https://doi.org/10.1097/01376517-199712000-00008
  8. Rankin J. Cerebral vascular accidents in patients over the age of 60. II. Prognosis. Scott Med J. 1957;2(5):200-215.  https://doi.org/10.1177/003693305700200504
  9. Khechinashvili G, Asplund K. Electrocardiographic changes in patients with acute stroke: a systematic review. Cerebrovasc Dis. 2002;14(2):67-76.  https://doi.org/10.1159/000064733
  10. van Bree MD, Roos YB, van der Bilt IA, et al. Prevalence and characterization of ECG abnormalities after intracerebral hemorrhage. Neurocrit Care. 2010;12(1):50-55.  https://doi.org/10.1007/s12028-009-9283-z
  11. Takeuchi S, Nagatani K, Otani N, et al. Electrocardiograph abnormalities in intracerebral hemorrhage. J Clin Neurosci. 2015;22(12):1959-1962. https://doi.org/10.1016/j.jocn.2015.04.028
  12. Loggini A, Mansour A, El Ammar F, et al. Inversion of T Waves on Admission is Associated with Mortality in Spontaneous Intracerebral Hemorrhage. J Stroke Cerebrovasc Dis. 2021;30(6):105776. https://doi.org/10.1016/j.jstrokecerebrovasdis.2021.105776
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