Hemorrhagic stroke electrocardiogram: Difference between revisions
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==Overview== | ==Overview== | ||
Secondary to catecholamines release following posterior hypothalamus hypoperfusion, the EKG changes may show changes which is a reflection of left ventricular ischemia. Additionally, brainstem compression may result in [[ventricular arrhythmias]].<ref name="pmid8219819">{{cite journal| author=Davis AM, Natelson BH| title=Brain-heart interactions. The neurocardiology of arrhythmia and sudden cardiac death. | journal=Tex Heart Inst J | year= 1993 | volume= 20 | issue= 3 | pages= 158-69 | pmid=8219819 | doi= | pmc=325088 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8219819 }} </ref><ref name="pmid21450435">{{cite journal| author=Hasegawa K, Fix ML, Wendell L, Schwab K, Ay H, Smith EE et al.| title=Ischemic-appearing electrocardiographic changes predict myocardial injury in patients with intracerebral hemorrhage. | journal=Am J Emerg Med | year= 2012 | volume= 30 | issue= 4 | pages= 545-52 | pmid=21450435 | doi=10.1016/j.ajem.2011.02.007 | pmc=3684165 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21450435 }} </ref> | |||
==Electrocardiogram== | ==Electrocardiogram== | ||
Secondary to catecholamines release following posterior hypothalamus hypoperfusion, the EKG changes may show changes which is a | Secondary to catecholamines release following posterior hypothalamus hypoperfusion, the EKG changes may show changes which is a reflection of left ventricular ischemia:<ref name="pmid8219819">{{cite journal| author=Davis AM, Natelson BH| title=Brain-heart interactions. The neurocardiology of arrhythmia and sudden cardiac death. | journal=Tex Heart Inst J | year= 1993 | volume= 20 | issue= 3 | pages= 158-69 | pmid=8219819 | doi= | pmc=325088 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8219819 }} </ref><ref name="pmid21450435">{{cite journal| author=Hasegawa K, Fix ML, Wendell L, Schwab K, Ay H, Smith EE et al.| title=Ischemic-appearing electrocardiographic changes predict myocardial injury in patients with intracerebral hemorrhage. | journal=Am J Emerg Med | year= 2012 | volume= 30 | issue= 4 | pages= 545-52 | pmid=21450435 | doi=10.1016/j.ajem.2011.02.007 | pmc=3684165 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21450435 }} </ref> | ||
*Prolonged QT interval | *[[Prolonged QT interval]] | ||
*ST segment depression | *[[ST segment depression]] | ||
*Flat or inverted T waves | *[[T waves flattening|Flat T waves]] or [[inverted T waves]] | ||
*U waves | *[[U waves]] | ||
*Tall | *Tall T waves | ||
Additionally, brainstem compression may result in: | Additionally, brainstem compression may result in: | ||
*Ventricular arrhythmias | *[[Ventricular arrhythmias]] | ||
==References== | ==References== | ||
Latest revision as of 16:30, 30 November 2016
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Hemorrhagic stroke Microchapters |
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Diagnosis |
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Treatment |
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AHA/ASA Guidelines for the Management of Spontaneous Intracerebral Hemorrhage (2015) |
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AHA/ASA Guidelines for the Management of Aneurysmal Subarachnoid Hemorrhage (2012) |
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AHA/ASA Guideline Recommendation for the Primary Prevention of Stroke (2014) |
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AHA/ASA Guideline Recommendations for Prevention of Stroke in Women (2014) Sex-Specific Risk Factors
Risk Factors Commoner in Women |
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Case Studies |
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Hemorrhagic stroke electrocardiogram On the Web |
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American Roentgen Ray Society Images of Hemorrhagic stroke electrocardiogram |
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Risk calculators and risk factors for Hemorrhagic stroke electrocardiogram |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Mehrsefat, M.D. [2]
Overview
Secondary to catecholamines release following posterior hypothalamus hypoperfusion, the EKG changes may show changes which is a reflection of left ventricular ischemia. Additionally, brainstem compression may result in ventricular arrhythmias.[1][2]
Electrocardiogram
Secondary to catecholamines release following posterior hypothalamus hypoperfusion, the EKG changes may show changes which is a reflection of left ventricular ischemia:[1][2]
- Prolonged QT interval
- ST segment depression
- Flat T waves or inverted T waves
- U waves
- Tall T waves
Additionally, brainstem compression may result in:
References
- ↑ 1.0 1.1 Davis AM, Natelson BH (1993). "Brain-heart interactions. The neurocardiology of arrhythmia and sudden cardiac death". Tex Heart Inst J. 20 (3): 158–69. PMC 325088. PMID 8219819.
- ↑ 2.0 2.1 Hasegawa K, Fix ML, Wendell L, Schwab K, Ay H, Smith EE; et al. (2012). "Ischemic-appearing electrocardiographic changes predict myocardial injury in patients with intracerebral hemorrhage". Am J Emerg Med. 30 (4): 545–52. doi:10.1016/j.ajem.2011.02.007. PMC 3684165. PMID 21450435.