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(Stroke. 1999;30:1296-1300.)
© 1999 American Heart Association, Inc.

Abstracts of Literature

Abstracts of Literature

Askiel Bruno Engin Y. Yilmaz

	Cerebral Aneurysms

 
AB-14387-99
Cardiac Outcome in Patients With Subarachnoid Hemorrhage and Electrocardiographic Abnormalities—Zaroff JG (Cardiology Div, Univ of California, San Francisco, 505 Parassus Ave, San Francisco, CA 94143-0124), Rordorf GA, Newell JB, Ogilvy CS, Levinson JR—Neurosurgery. 1999;44:34–40.

OBJECTIVE: Approximately 25% of patients with subarachnoid hemorrhage (SAH) have electrocardiographic (ECG) abnormalities consistent with myocardial ischemia or myocardial infarction (MI), and their cardiac prognosis remains unclear. The objective of this study was to determine the cardiac and all-cause mortality rate of a series of patients with SAH with ECG changes consistent with ischemia or MI.

METHODS: Using an existing database of patients with SAH and predetermined ECG criteria for ischemia or MI, a study group of patients with abnormal ECG results within 3 days of presentation and before aneurysm surgery was identified. Database patients without abnormal ECG results served as a control group. Cardiac mortality, defined as death resulting from arrhythmia, congestive heart failure, or cardiogenic shock, was assessed by chart review.

RESULTS: Of 439 patients with SAH in the database, 58 met the criteria for the study group. Forty-one of these patients were treated neurosurgically. No deaths resulting from cardiac causes occurred, and 20 patients died as a result of noncardiac causes. In a multivariable analysis, age older than 65 years and Hunt and Hess grade of at least 3 were predictive of all-cause mortality. ECG abnormalities, however, were not a statistically significant predictor.

CONCLUSION: In patients with SAH and ECG readings consistent with ischemia or MI, the risk of death resulting . . . [Full Text of this Article]