■在创伤性脑损伤(TBI)患者中可以看到异常的心电图(ECG)发现。ECG可能是一种廉价的工具,可用于识别TBI后发生心功能不全的高风险患者。这项研究旨在根据超声心动图检查孤立性TBI后的异常ECG发现及其与真实心功能不全的关联。
■这项前瞻性观察性研究检查了2020年至2021年间患有孤立性和非手术性TBI的成年患者的数据。年龄<18岁和>65岁的患者有颅外损伤,包括骨科,胸部,心脏,腹部,和骨盆,预先存在的心脏病,做了心胸手术的病人,服用强迫症药物,急性出血,和脑死亡被排除在研究之外。
■我们检查了100例接受心电图和超声心动图评估的孤立性TBI患者的数据。53%的轻度病例的心电图变化显示心率为60-100/min,2%的病例显示超过100/min。8%的脉搏率(PR)间隔延长,11%,和16%的轻度,中度,严重的病例,而65%的病例没有观察到PR间期的变化。在5%中观察到延长的QRS模式,7%,和15%的温和,中度,和严重的病例。在71%的病例中观察到正常的QRS波。在3%中观察到延长的QTc,10%,15%的病例是轻度的,中度,严重的病例,分别。
■复极化异常,但不是缺血性心电图改变,与孤立性TBI后的心脏功能障碍有关。12导联ECG可能是评估孤立的TBI患者心功能不全的廉价筛查工具。
UNASSIGNED: Abnormal electrocardiogram (ECG) findings can be seen in traumatic brain injury (TBI) patients. ECG may be an inexpensive tool to identify patients at high risk for developing cardiac dysfunction after TBI. This study aimed to examine abnormal ECG findings after isolated TBI and their association with true cardiac dysfunction based on echocardiogram.
UNASSIGNED: This prospective observational study examined the data from adult patients with isolated and non-operated TBI between 2020 and 2021. Patients aged <18 years and >65 years with and presence of extracranial injuries including orthopedic, chest, cardiac, abdominal, and pelvis, pre-existing cardiac disease, patients who have undergone cardiothoracic surgery, with inotrope drugs, acute hemorrhage, and brain death were excluded from the study.
UNASSIGNED: We examined data from 100 patients with isolated TBI who underwent ECG and echocardiographic evaluation. ECG changes among 53% of mild cases showed a heart rate of 60-100/min, and 2% of cases showed more than 100/min. Prolonged pulse rate (PR) interval was observed in 8%, 11%, and 16% of mild, moderate, and severe cases, while no changes in PR interval were observed in 65% of cases. A prolonged QRS pattern was observed in 5%, 7%, and 15% of mild, moderate, and severe cases. A normal QRS complex was observed in 71% of cases. Prolonged QTc was observed in 3%, 10%, and 15% of cases in mild, moderate, and severe cases, respectively.
UNASSIGNED: Repolarization abnormalities, but not ischemic-like ECG changes, are associated with cardiac dysfunction after isolated TBI. 12-lead ECG may be an inexpensive screening tool to evaluate isolated TBI patients for cardiac dysfunction.