QTc Interval Prolongation and Stroke: Any Differences between Ischemic and Hemorrhagic Strokes?

Year 2014, Volume: 39 Issue: 1, 75 - 82, 22.07.2014

Osama Shukir Muhammed Amin Hawar Adnan Myckan Emad Hama Hussein

https://doi.org/10.17826/cutf.67051

Abstract

Purpose: Strokes results in a multitude of electrocardiographic (ECG) changes, and a prolongation of the QTc interval is a well-observed one. We analyzed QTc interval prolongation among males and females who presented with acute stroke. Material and Methods: This observational study was conducted at the department of neurology of the Sulaimaniya general teaching hospital, from August 2012 to May 2013, and involved 100 consecutive patients who presented with acute stroke; 50 had ischemic stroke and the rest (n=50) had hypertensive intracerebral hemorrhage. All patients underwent resting 12-lead ECG within half an hour of A&E admission. The QTc interval was calculated and analyzed. A comparison among males and females in both stroke types was done. Results: The ischemic group had 25 males and 25 females; 25 patients (25%; 13 males and 12 females) demonstrated QTc interval prolongation. Thirty two males and 18 females constituted the hemorrhagic group; QTc interval prolongation was observed in 18 males and 8 females (n=26; 26%). There was no statistically significant difference in the QTc interval prolongation among males of the ischemic stroke versus hemorrhagic group (P-value

Keywords

stroke; QTc interval prolongation; ECG

QTc Aralığı Uzaması ve İnme: İskemik ve Hemorajik İnme Arasındaki Farklar

Abstract

Amaç: İnmeler genellikle çok sayıda elektrokardiyografi (EKG) değişiklikleri ve QTc aralığının uzaması ile karakterizedir. Çalışmamızda akut inme ile başvuran kadın ve erkek hastaların QTc aralığını analiz ettik. Materyal ve Metod: Bu gözlemsel çalışmada Ağustos 2012"den Mayıs 2013'e, Süleymaniye genel eğitim hastanesinin nöroloji bölümünde akut inme ile başvuran 100 hasta dahil edildi; 50 iskemik inme ve 50 intraserebral hipertansif kanamalı. Tüm hastalara A&E kabulünü müteakip yarım saat içirisinde dinlenme durumunda EKG yapıldı. QTc aralığı hesaplanıp analiz edildi. Her iki inme tipinde de kadınlar ve erkekler arasında bir karşılaştırma yapıldı. Bulgular: İskemik grubunda 25 erkek ve 25 kadın vardı, 25 hastada (% 25, 13 erkek ve 12 kadın) QTc aralığı uzaması saptandı. Otuz iki erkek ve 18 kadın hemorajik grubu oluşturdu; QTc aralığı uzaması 18 erkek ve 8 kadında gözlendi (n = 26;% 26). QTc aralığı uzaması açısından hemorajik grup erkekler iskemik inmesi olan erkekler ile karşılaştırıldığında (P-değeri

Keywords

İnme; QTc aralık uzaması; EKG

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• Yazışma Adresi / Address for Correspondence: Osama Shukir Muhammed Amin Sulaimaniya City Post-Office, PO BOX 196, Sulaimaniya City, IRAQ E-mail: [e-mail] geliş tarihi/received :28.08.2012 kabul tarihi/accepted:25.09.2012