Relationship of electrocardiographic changes and severity of acute cerebral ischemic stroke in old patients: A clinical observational study.

Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 2985248R Publication Model: Print Cited Medium: Internet ISSN: 1536-5964 (Electronic) Linking ISSN: 00257974 NLM ISO Abbreviation: Medicine (Baltimore) Subsets: MEDLINE

Original Publication: Hagerstown, Md : Lippincott Williams & Wilkins

Brain*/blood supply ; Brain*/diagnostic imaging ; Brain*/pathology ; Electrocardiography*/methods ; Electrocardiography*/statistics & numerical data ; Ischemic Stroke*/diagnosis ; Ischemic Stroke*/epidemiology ; Ischemic Stroke*/physiopathology ; Myocardial Ischemia*/diagnosis ; Myocardial Ischemia*/epidemiology ; Myocardial Ischemia*/physiopathology ; Stroke*/diagnosis ; Stroke*/epidemiology ; Stroke*/physiopathology; Aged ; Bundle-Branch Block/diagnosis ; Bundle-Branch Block/etiology ; China/epidemiology ; Correlation of Data ; Female ; Humans ; Long QT Syndrome/diagnosis ; Long QT Syndrome/etiology ; Male ; Prognosis ; Severity of Illness Index

Abstract: There was a controversy for the electrocardiogram (ECG) changes and their relationship with disease severity in old patients with acute cerebral ischemic stroke (CIS). This study was aim to provide referential data for this topic.Totally 200 old patients with acute CIS in our hospital from January 2017 to December 2019 were included into this study. According to the ST-T segment changes in ECG, these patients were divided into 3 groups: persistent ischemic group (n = 38), transient ischemic group (n = 106) and non-ischemic group (n = 56). The characteristics and incidence of abnormal ECG and their relationship with disease severity, infarct size and prognosis were respectively analyzed under the severe, moderate and mild type of disease.The ECG changes of patients were mainly characterized by myocardial ischemic ST-T segment changes with a abnormal ECG incidence of 72.00%, the arrhythmia with a abnormal ECG incidence of 9.50%, which were the second most common in clinical features. There were statistically significant differences of myocardial ischemic ST-T segment changes among different disease severity, infarct size and prognosis of acute CIS patients (P < .05). The ischemic ST-T segment changes of ECG reflected that the disease severity, and more ECG abnormalities indicated more severe pathological conditions in CIS patients.The characteristics of ischemic ST-T segment changes have important reference value in the evaluation of severity and prognosis of acute CIS in old patients.
Competing Interests: The authors have no conflicts of interests to disclose.
(Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc.)

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Date Created: 20210630 Date Completed: 20210708 Latest Revision: 20230103

20240628

PMC8257911

10.1097/MD.0000000000026498

34190179