The risk factors of electrocardiographic abnormality in patients with acute cerebral infarction
10.3760/cma.j.issn.1008-1372.2013.05.013
- VernacularTitle:急性脑梗死患者心电图异常的相关因素分析
- Author:
Jianxiang LIU
;
Xingming LI
;
Yuping GU
;
Sheng LIN
;
Dingyou WANG
;
Feiqi ZHU
- Publication Type:Journal Article
- Keywords:
Brain infarction;
Electrocardiography;
Risk factors
- From:
Journal of Chinese Physician
2013;(5):626-628
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the risk factors of electrocardiographic abnormality in patients with acute cerebral infarction.Methods The clinical data of patients with acute cerebral infarction were collected,including the National Institutes of Health Stroke Scale (NIHSS),electrocardiogram (ECG),lipid,glucose,glycosylated hemoglobin,body mass index,homocysteine,high-sensitivity C-reactive protein,white blood cells,and medical history.Logistics regression was used to search the risk factors of ECG abnormality in patient with acute cerebral infarction.Results ECGs of 189 cases of patients with acute cerebral infarction were divided into normal (n =83) and abnormal (n =106).The rate of abnormal ECG was 56.09%,and abnormal ECG ST-T change was the most common.NIHSS,systolic blood pressure,total cholesterol,and white blood cells were correlated with the ECG abnormality with the one-way Logistic regression analysis.In addition,NIHSS,systolic blood pressure,and white blood cells were correlated with the ECG abnormality with the multiple Logistic regression analysis (r =1.18,P <0.01 ; r =1.02,P <0.01 ; r =1.19,P < 0.05).Conclusions NIHSS,systolic blood pressure,and white blood cells were independent risk factors in patients with acute cerebral infarction.ECG monitoring should be performed especially in patients with high NIHSS,systolic blood pressure,and white blood cells count.