Clinical Analysis of Postoperative Patients with Electrocardiographic Abnormalities Associated with Aneurysm.
- Author:
Pan Seok JEON
1
;
Seung Myoung LEE
;
Ha Young CHO
;
Eui Joong YANG
;
Suk Jung JANG
;
Shin HO
Author Information
1. Department of Neurosurgery, College of Medicine, Chosun University, Kwangju, Korea.
- Publication Type:Original Article
- Keywords:
Electrocardiogram;
Aneurysm;
Subarachnoid hemorrhage
- MeSH:
Aneurysm*;
Arrhythmias, Cardiac;
Brain;
Electrocardiography*;
Hand;
Humans;
Subarachnoid Hemorrhage
- From:Journal of Korean Neurosurgical Society
1995;24(1):5-12
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Preoperative assessment of electrocardiographical(EKG) abnormalities in the patients with subarachnoid hemorrhage(SAH) is importment. Authors analyzed 58 SAH patients who had EKG abnormalities of neurogenic origin. EKG abnormalities consisted of T wave abnormality, arrhythmia, ST segment change, QT prolongation and U wave. Five patients were dead in this study because of brain swelling(3 cases) and cerebral spasm(2 cases). EKG abnormalities were normalized 13 days after aneurysmal SAH. Radioactive nuclear(99mTc-pyrophosphate) scan of myocardial revealed normal findings in the patients with EKG abnormalities of neurogenic origin. It is concluded that life-saving surgical intervention need not be delayed in the patients with EKG abnormalities of neurogenic origin. On the other hand, patients who had cardiac origin EKG abnormalities need a careful and detailed preanesthetic cardiac evaluation.
