Correlation of head injury with ECG and echo changes.

Surgical neurology international Pub Date : 2024-08-23 eCollection Date: 2024-01-01 DOI:10.25259/SNI_559_2023
Pavan Kumar Ediga, Mudumba Vijaya Saradhi, Rajesh Alugolu, Jyotsna Maddury
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Abstract

Background: Abnormal electrocardiogram (ECG) findings can be seen in traumatic brain injury (TBI) patients. ECG may be an inexpensive tool to identify patients at high risk for developing cardiac dysfunction after TBI. This study aimed to examine abnormal ECG findings after isolated TBI and their association with true cardiac dysfunction based on echocardiogram.

Methods: This prospective observational study examined the data from adult patients with isolated and non-operated TBI between 2020 and 2021. Patients aged <18 years and >65 years with and presence of extracranial injuries including orthopedic, chest, cardiac, abdominal, and pelvis, pre-existing cardiac disease, patients who have undergone cardiothoracic surgery, with inotrope drugs, acute hemorrhage, and brain death were excluded from the study.

Results: We examined data from 100 patients with isolated TBI who underwent ECG and echocardiographic evaluation. ECG changes among 53% of mild cases showed a heart rate of 60-100/min, and 2% of cases showed more than 100/min. Prolonged pulse rate (PR) interval was observed in 8%, 11%, and 16% of mild, moderate, and severe cases, while no changes in PR interval were observed in 65% of cases. A prolonged QRS pattern was observed in 5%, 7%, and 15% of mild, moderate, and severe cases. A normal QRS complex was observed in 71% of cases. Prolonged QTc was observed in 3%, 10%, and 15% of cases in mild, moderate, and severe cases, respectively.

Conclusion: Repolarization abnormalities, but not ischemic-like ECG changes, are associated with cardiac dysfunction after isolated TBI. 12-lead ECG may be an inexpensive screening tool to evaluate isolated TBI patients for cardiac dysfunction.

头部损伤与心电图和回声变化的相关性。
背景:创伤性脑损伤(TBI)患者可出现心电图(ECG)异常。心电图可能是识别创伤性脑损伤后心脏功能障碍高危患者的一种廉价工具。本研究旨在根据超声心动图检查孤立性 TBI 后的异常心电图结果及其与真正心功能不全的关联:这项前瞻性观察研究调查了 2020 年至 2021 年期间孤立性和非手术创伤性脑损伤成年患者的数据。研究排除了年龄在 65 岁以上、存在颅外损伤(包括骨科、胸部、心脏、腹部和骨盆)、原有心脏病、接受过心胸外科手术、使用过肌注药物、急性出血和脑死亡的患者:我们对 100 名接受过心电图和超声心动图评估的孤立性创伤性脑损伤患者的数据进行了研究。53%的轻度病例的心电图变化显示心率为 60-100 分/分钟,2%的病例心率超过 100 分/分钟。在轻度、中度和重度病例中,分别有 8%、11% 和 16% 的病例出现脉搏(PR)间期延长,而 65% 的病例脉搏(PR)间期没有变化。在轻度、中度和重度病例中,分别有 5%、7% 和 15%的病例出现 QRS 波形延长。71%的病例观察到正常的 QRS 波群。在轻度、中度和重度病例中,分别有3%、10%和15%的病例出现QTc延长:结论:极化异常(而非缺血样心电图变化)与孤立性创伤性脑损伤后心功能不全有关。12 导联心电图可能是评估孤立性创伤后患者心功能不全的一种廉价筛查工具。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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