Abnormality of electrocardiogram in patients with acute craniocerebral injury

doi:10.3877/cma.j.issn.2095-6568.2018.02.009

Abstract

Abstract:

Objective

To analyze the clinical abnormality of electrocardiogram in patients with acute craniocerebral injury.

Methods

A total of 118 patients with acute craniocerebral injury who were treated in Yijishan Hospital of Wannan Medical College from February of 2015 to April of 2017 were enrolled in this study. All patients were detected with electrocardiogram before and after treatment, and ECG examination results were analyzed.

Results

Electrocardiogram showed that there were 97 cases (82.20%) of ECG abnormalities in 118 patients, 28 cases (23.73%) of similar to acute myocardial infarction. ECG abnormalities were mainly ST-T changes, arrhythmia, pathological Q wave and amplitude increased QRS wave. After treatment, 82 cases (84.54%) had significant improvement in ECG, and the difference was statistically significant (P<0.05).

Conclusion

The patients with acute craniocerebral injury are accompanied by different degrees of abnormal electrocardiogram. It is necessary to make a combined diagnosis and strengthen the continuous monitoring of electrocardiogram so as to improve the diagnostic accuracy and benefit the clinical treatment and prognosis evaluation.

Key words: acute brain injury, electrocardiogram, abnormality

Yongjie Yuan, Hao Yang, Anding Xu. Abnormality of electrocardiogram in patients with acute craniocerebral injury[J]. Chinese Journal of Heart and Heart Rhythm(Electronic Edition), 2018, 06(02): 89-91.

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References 9

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心电图异常类型		例数	百分比
心肌缺血改变		?	?
?	ST段下移	17	14.41
?	ST段抬高	15	12.71
?	Q－T间期延长	3	2.54
?	T波高尖振幅大于1.3 mV	2	1.69
?	T－U融合	1	0.85
?	U波明显	2	1.69
?	巨大倒置T波	8	6.78
?	T波低平或倒置	7	5.93
心律失常		?	?
?	室性早搏	9	7.63
?	房室传导阻滞	2	1.69
?	室速	1	0.85
?	窦性心动过缓	21	17.80
?	窦性心动过速	4	3.39
其他		?	?
?	病理性Q波	2	1.69
?	高尖P波	1	0.85
?	QRS波振幅增高	2	1.69

心电图异常类型		例数	百分比
心肌缺血改变		?	?
?	ST段下移	17	14.41
?	ST段抬高	15	12.71
?	Q－T间期延长	3	2.54
?	T波高尖振幅大于1.3 mV	2	1.69
?	T－U融合	1	0.85
?	U波明显	2	1.69
?	巨大倒置T波	8	6.78
?	T波低平或倒置	7	5.93
心律失常		?	?
?	室性早搏	9	7.63
?	房室传导阻滞	2	1.69
?	室速	1	0.85
?	窦性心动过缓	21	17.80
?	窦性心动过速	4	3.39
其他		?	?
?	病理性Q波	2	1.69
?	高尖P波	1	0.85
?	QRS波振幅增高	2	1.69

心电图异常类型	治疗前	治疗后	χ²值	P值
心肌缺血改变	50(51.55)	9(9.28)	40.943	<0.05
心律失常	35(36.08)	4(4.12)	30.841	<0.05
其他	12(12.37)	2(2.06)	7.698	<0.05

心电图异常类型	治疗前	治疗后	χ²值	P值
心肌缺血改变	50(51.55)	9(9.28)	40.943	<0.05
心律失常	35(36.08)	4(4.12)	30.841	<0.05
其他	12(12.37)	2(2.06)	7.698	<0.05

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