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ISSN 2225-4676 (Electronic)

2021, Number 3

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Rev Cubana Neurol Neurocir 2021; 11 (3)

Factors associated with the appearance of electrocardiographic abnormalities in patients with aneurysmal subarachnoid hemorrhage

Biart VA, Ruiz GD

Language: Spanish
References: 46
Page: 1-26
PDF size: 357.57 Kb.


ABSTRACT

Objective: To determine the associated factors with the appearance of electrocardiographic alterations in patients with aneurysmal subarachnoid hemorrhage.
Methods: An observational, descriptive and retrospective study was carried out with 89 patients admitted to the Stroke Unit, at "Hermanos Ameijeiras" Clinical-Surgical Hospital. They were diagnosed with aneurysmal subarachnoid hemorrhage and electrocardiographic abnormalities. The study period was from January 2013 to January 2018. The variables analyzed were age, sex, skin color, personal medical history, score according to the Glasgow Coma Scale and graduation according to the World Federation of Neurological Surgeons scale, plasma sodium levels and potassium, the location of the bleeding and intensity according to the Fisher scale, the location and size of the aneurysm, the presence or absence of neurological complications, the type of electrocardiographic alteration and clinical repercussion. For the analysis of the data, the calculation of absolute and relative frequencies was carried out, measures of central tendency (mean) and dispersion (range) were applied.
Results: The most significant variable, from all those analyzed, were the type of electrocardiographic alteration and the clinical repercussion of these electrocardiographic alterations. The most frequent electrocardiographic alterations were QT interval prolongation (18.0%), sinus bradycardia (15.7%) and sinus tachycardia (14.6%), and the electrical changes in any of the patients showed clinical repercussion. The factors with statistical association to the appearance of electrocardiographic alterations were electrolyte imbalance (natremia p= 0.040; potassium p= 0.002), the behavior of bleeding according to the Fisher scale (p= 0.006), rebleeding (p= 0.032), and personal medical history of atrial fibrillation (p= 0.002) or ischemic heart disease (p= 0.034).
Conclusions: Electrolyte imbalance, behavior of bleeding according to the Fisher scale, rebleeding and personal pathological history of atrial fibrillation and ischemic heart disease were the factors associated with the appearance of cardiac electrical changes in our series of patients.


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