J Korean Neurosurg Soc.  1995 Jan;24(1):5-12.

Clinical Analysis of Postoperative Patients with Electrocardiographic Abnormalities Associated with Aneurysm

• Jeon PS
• Lee SM
• Cho HY
• Yang EJ
• Jang SJ
• Ho S

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.

Keyword

Electrocardiogram; Aneurysm; Subarachnoid hemorrhage

MeSH Terms

Aneurysm*
Arrhythmias, Cardiac
Brain
Electrocardiography*
Hand
Humans
Subarachnoid Hemorrhage