Why the study?
Are electrocardiographic abnormalities associated with raised intracranial pressure in patients with intracranial conditions?
Are electrocardiographic abnormalities associated with raised intracranial pressure in patients with intracranial conditions?
Raised intracranial pressure is associated with specific ECG abnormalities such as prominent U waves, ST-T changes, and altered Q-T intervals.
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May prompt ECG review in suspected raised ICP; hypothesis-generating observation requiring prospective validation.
Serial electrocardiographic (E.C.G.) recordings were taken in seven patients suffering from intracranial conditions, for which their intracranial pressure was directly and continuously monitored with a Konigsberg extradural transducer. The E.C.G. changes observed in patients with raised intracranial pressure were prominent U waves, ST-T segment changes, notched T waves, and shortening and prolongation of Q-T intervals. Two patients with normal intracranial pressure showed no E.C.G. abnormalities but also establish a relationship between E.C.G. abnormalities and changing intracranial pressure.
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Jachuck et al. (1975) studied this question.
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