Key result
Intracerebral hemorrhage site correlated significantly with echocardiographic and ECG changes (P=0.030 and P=0.035, respectively), with LV systolic dysfunction detected only in deep lesions.
Why the study?
Acute stroke is frequently accompanied by electrocardiographic abnormalities and elevated troponin levels, which may indicate neurogenic myocardial damage.
Does intracerebral hemorrhage cause detectable myocardial dysfunction as measured by echocardiography, ECG, and troponin levels?
Observational (n=50)
Yes
Does intracerebral hemorrhage cause detectable myocardial dysfunction as measured by echocardiography, ECG, and troponin levels?
p-value: p=0.030
Intracerebral hemorrhage, particularly in deep lesions, is associated with detectable neurogenic myocardial damage as evidenced by echocardiographic and ECG changes.
Cardiac monitoring may be considered in ICH; leaves open whether echo/ECG changes alter management or outcomes.
Background Acute stroke is frequently accompanied by electrocardiographic abnormalities and high serum troponin levels. These might be an indication of so-called neurogenic myocardial damage. Goal and objectives: The present study aims to detect any cardiac dysfunction and myopathy secondary to intracerebral hemorrhage (ICH) using echocardiographic changes such as left ventricular (LV) systolic dysfunction (decrease in ejection fraction) by M Mode or Simpson’s method, and ECG changes as, prolonged QT interval, ST-segment changes, T wave inversion changes, and any arrhythmias. Patients and method This observational prospective research had been carried out on 50 consecutive patients admitted over 6 months with ICH at critical care departments at Al-Kasr Al-Ainy hospital—Cairo University, and Ahmed Maher Teaching Hospital. Results LV systolic dysfunction was only detected in deep lesions while LV wall motion abnormality was detected in lobar and deep lesions. ST-segment elevation was only detected in deep lesions. There had been a correlation between hemorrhage site and Echocardiographic changes and ECG changes ( P =0.030 and 0.035, respectively) with no significant relationship between hemorrhage site and troponin I. Conclusion Troponin I level was significantly higher 5 days after admission than at admission. There was an insignificant relationship between traumatic and nontraumatic ICH as regard echocardiographic changes, ECG changes, and troponin I level.
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Khaleda et al. (2025) conducted an observational in Intracerebral hemorrhage (ICH) (n=50). Intracerebral hemorrhage site (deep vs lobar lesions) was evaluated on Echocardiographic and ECG changes (p=0.030). Intracerebral hemorrhage site correlated significantly with echocardiographic and ECG changes (P=0.030 and P=0.035, respectively), with LV systolic dysfunction detected only in deep lesions.
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