January 1, 2002Circulation JournalOpen Access

Electrocardiographic Score as a Predictor of Mortality After Subarachnoid Hemorrhage

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Why the study?

Does an ECG score predict in-hospital mortality in patients with subarachnoid hemorrhage?

Population

122 consecutive patients with subarachnoid hemorrhage caused by ruptured aneurysms admitted within 6 hours…

Design

Cohort, The 12-lead ECG of each patient was analyzed independently by 2…

Follow-up

In-hospital stay

Authors

TKTatsuya KawasakiMatsushita Memorial Hospital AAAkihiro AzumaFukui National College of Technology TSTakahisa SawadaInterventional / Structural Cardiology

Discussion

Member takes

Implication

May aid early risk stratification in subarachnoid hemorrhage; hypothesis-generating and requires prospective validation before clinical use.

Structured PICO

Does an ECG score predict in-hospital mortality in patients with subarachnoid hemorrhage?

Population

122 consecutive patients with subarachnoid hemorrhage (SAH) caused by ruptured aneurysms admitted within 6 hours of first clinical symptoms, mean age 58.5, 54% female. Excluded: history of heart disease, cerebrovascular disease, complete right bundle branch block, complete left bundle branch block, and left ventricular hypertrophy with strain.

Intervention

Electrocardiographic (ECG) score, defined as the total number of leads having abnormal Q wave, ST depression, or T wave inversion on a 12-lead ECG on arrival.

Outcome

In-hospital death (mortality)hard clinical

A simple ECG score based on the number of leads with abnormal Q waves, ST depression, or T wave inversion is a powerful independent predictor of in-hospital mortality in patients with subarachnoid hemorrhage.

Limitations

Retrospective data
Selection bias (patients with a history of cardiovascular disease were excluded)
High mortality because the hospital is a specialist institute for cerebrovascular patients in poor condition
Some patients may have died before reaching the hospital

Cite This Study

Kawasaki et al. (2002) studied this question.

synapsesocial.com/papers/6a8c3eedbc51310b2bdecf11 https://doi.org/10.1253/circj.66.567

Topics

Hypertension management

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Implication

May aid early risk stratification in subarachnoid hemorrhage; hypothesis-generating and requires prospective validation before clinical use.

Electrocardiographic Score as a Predictor of Mortality After Subarachnoid Hemorrhage

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Topics

Electrocardiographic Score as a Predictor of Mortality After Subarachnoid Hemorrhage

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Also Consider

Topics

Also Consider