Key result
Aneurysmal clipping led to significant recovery of preoperative ECG and echocardiographic changes by postoperative day 1, but patients with combined changes had poor neurological outcomes at 1 year.
Why the study?
Does aneurysmal clipping improve electrocardiographic and echocardiographic changes in patients with subarachnoid hemorrhage?
Population
100 consecutive patients with aneurysmal subarachnoid hemorrhage undergoing clipping of ruptured aneurysm
Design
Cohort
Follow-up
1 year
Authors
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Combined preoperative ECG and echo changes may flag high-risk SAH patients for closer follow-up; leaves open causal effects of clipping on cardiac recovery.
Observational (n=100)
Does aneurysmal clipping improve electrocardiographic and echocardiographic changes in patients with subarachnoid hemorrhage?
Aneurysmal clipping leads to early recovery of ECG and echocardiographic changes in patients with subarachnoid hemorrhage, but the presence of combined preoperative changes predicts poor long-term neurological outcomes.
Jangra et al. (2016) conducted an observational in aneurysmal subarachnoid hemorrhage (n=100). Aneurysmal clipping was evaluated on ECG and echocardiographic changes and their impact on outcome at 1 year. Aneurysmal clipping led to significant recovery of preoperative ECG and echocardiographic changes by postoperative day 1, but patients with combined changes had poor neurological outcomes at 1 year.
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