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

[1]	Wu X, Yu Y, Hu P, et al. Maintenance effects of acupoint catgut embedding at early time on gastrointestinal function in patients with craniocerebral injury[J]. Zhongguo Zhen Jiu, 2015, 35(5): 439-442.
[2]	Xu G, Hu B, Chen G, et al. Analysis of blood trace elements and biochemical indexes levels in severe craniocerebral trauma adults with Glasgow Coma Scale and injury severity score[J]. Biol Trace Elem Res, 2015, 164(2): 192-197.
[3]	Li Q. Hyperbaric oxygen therapy at different pressure levels for aphasia following craniocerebral injury: efficacy, safety and patient adherence to therapy[J]. Nan Fang Yi Ke Da Xue Xue Bao, 2015, 35(8): 1206-1210.
[4]	Middleton P M. Practical use of the Glasgow Coma Scale; a comprehensive narrative review of GCS methodology[J]. Australas Emerg Nurs J, 2012, 15(3): 170-183.
[5]	Kamel H, Bartz T M, Longstreth W T Jr, et al. Association between left atrial abnormality on ECG and vascular brain injury on MRI in the Cardiovascular Health Study[J]. Stroke, 2015, 46(3): 711-716.
[6]	Orlov V P. Provision of medical care to the wounded with craniocerebral injuries at stages of medical evacuation in mountains and desert areas[J]. Voen Med Zh, 2015, 336(1): 36-40.
[7]	余亚娟，陈克非. 重型颅脑损伤后颅内压变化对心电图的影响[J]. 临床心电学杂志，2014, 23(5): 345-347.
[8]	蒲艳，冉迅，赵宁. 出现酷似急性心肌梗死心电图表现的颅脑损伤1例报告[J]. 临床神经病学杂志，2014, 27(4): 2525-255, 274.
[9]	李晶，刘丽群. 重型颅脑创伤患者心电图变化与预后的相关性研究[J]. 中国实用神经疾病杂志，2016, 19(18): 36-38.

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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