TY - JOUR
T1 - Electrocadiographic Scoring Helps Predict Left Ventricular Wall Motion Abnormality Commonly Observed after Subarachnoid Hemorrhage
AU - Sugimoto, Keiko
AU - Yamada, Akira
AU - Inamasu, Joji
AU - Hirose, Yuichi
AU - Takada, Kayoko
AU - Sugimoto, Kunihiko
AU - Tanaka, Risako
AU - Watanabe, Eiichi
AU - Ozaki, Yukio
N1 - Publisher Copyright:
© 2018 National Stroke Association
PY - 2018/11
Y1 - 2018/11
N2 - Background: Cardiac wall motion abnormality (WMA) is a common complication in patients with subarachnoid hemorrhage (SAH) and is one determinant of their prognosis. The aim of this study was to examine whether the electrocardiography (ECG) findings at admission could predict WMA commonly observed after SAH. Materials and methods: We studied 161 SAH patients with SAH who were hospitalized in our institution between April 2007 and November 2010. We performed bedside 2-dimensional transthoracic echocardiography and 12-lead surface ECG within 24 hours of SAH onset. Each of the following ECG changes was scored as having 1 point: ST elevation, ST depression and T wave inversion. We summed up the points in every patient and compared with WMA evaluated by echocardiography. Results: The study subjects were classified into 2 groups based on the presence of WMA. Multivariate analysis revealed that ST elevation, ST depression and T wave inversion were strong independent predictors of WMA. Receiver operating characteristic curve determined that the threshold value to predict WMA was 4 points (sensitivity 86.5%, specificity 83.1%, AUC 0.94, P <.0001). Conclusions: In conclusion, a novel ECG score may well predict WMA after SAH which may associate with an increased risk of mortality.
AB - Background: Cardiac wall motion abnormality (WMA) is a common complication in patients with subarachnoid hemorrhage (SAH) and is one determinant of their prognosis. The aim of this study was to examine whether the electrocardiography (ECG) findings at admission could predict WMA commonly observed after SAH. Materials and methods: We studied 161 SAH patients with SAH who were hospitalized in our institution between April 2007 and November 2010. We performed bedside 2-dimensional transthoracic echocardiography and 12-lead surface ECG within 24 hours of SAH onset. Each of the following ECG changes was scored as having 1 point: ST elevation, ST depression and T wave inversion. We summed up the points in every patient and compared with WMA evaluated by echocardiography. Results: The study subjects were classified into 2 groups based on the presence of WMA. Multivariate analysis revealed that ST elevation, ST depression and T wave inversion were strong independent predictors of WMA. Receiver operating characteristic curve determined that the threshold value to predict WMA was 4 points (sensitivity 86.5%, specificity 83.1%, AUC 0.94, P <.0001). Conclusions: In conclusion, a novel ECG score may well predict WMA after SAH which may associate with an increased risk of mortality.
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U2 - 10.1016/j.jstrokecerebrovasdis.2018.07.008
DO - 10.1016/j.jstrokecerebrovasdis.2018.07.008
M3 - Article
C2 - 30120035
AN - SCOPUS:85051493663
SN - 1052-3057
VL - 27
SP - 3148
EP - 3154
JO - Journal of Stroke and Cerebrovascular Diseases
JF - Journal of Stroke and Cerebrovascular Diseases
IS - 11
ER -