What question did this study set out to answer?

Characterize the distinct electrocardiographic pattern associated with cerebrovascular accidents and identify its most common intracranial causes.

September 12, 1966JAMA

Electrocardiographic Pattern of Cerebrovascular Accident

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Population

Patients with cerebrovascular accident, particularly intracranial hemorrhage, or nonvascular intracranial…

Design

Review

Authors

BSBorys SurawiczElectrophysiology

Discussion

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Implication

May prompt consideration of intracranial pathology with unexplained giant T-wave inversions and QTc prolongation; leaves open prospective validation of diagnostic specificity and outcomes.

Key Points

Characterize the distinct electrocardiographic pattern associated with cerebrovascular accidents and identify its most common intracranial causes.
Analyzed clinical and electrocardiographic findings from published series of patients presenting with cerebrovascular accidents and intracranial lesions.
In the original series, 14 of 17 patients displaying the characteristic electrocardiographic pattern had documented intracranial hemorrhage.
The electrocardiographic pattern presented with wide, high-amplitude giant T waves (commonly inverted in standard limb and left precordial leads) and QTc interval prolongation of up to 60% above normal baseline values.

Structured PICO

Population

Patients with cerebrovascular accident (CVA), particularly intracranial hemorrhage, or nonvascular intracranial lesions

Outcome

Electrocardiographic pattern characteristicssurrogate

Patients with cerebrovascular accidents, especially intracranial hemorrhage, may present with a specific ECG pattern featuring giant T waves and significant QTc prolongation.

Cite This Study

Borys Surawicz (1966) studied this question.

synapsesocial.com/papers/6a95c93facb28a1a8de6c8b1 https://doi.org/10.1001/jama.1966.03110110137033

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Implication

May prompt consideration of intracranial pathology with unexplained giant T-wave inversions and QTc prolongation; leaves open prospective validation of diagnostic specificity and outcomes.

Electrocardiographic Pattern of Cerebrovascular Accident

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Electrocardiographic Pattern of Cerebrovascular Accident

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

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