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Journal of Korean Neurosurgical Society 1995;24(1): 5-12. |
| Clinical Analysis of Postoperative Patients with Electrocardiographic Abnormalities Associated with Aneurysm. |
| Pan Seok Jeon, Seung Myoung Lee, Ha Young Cho, Eui Joong Yang, Suk Jung Jang, Shin Ho |
| Department of Neurosurgery, College of Medicine, Chosun University, Kwangju, Korea. |
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| ABSTRACT |
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Preoperative assessment of electrocardiographical(EKG) abnormalities in the patients with subarachnoid hemorrhage(SAH) is importment. Authors analyzed 58 SAH patients who had EKG abnormalities of neurogenic origin. EKG abnormalities consisted of T wave abnormality, arrhythmia, ST segment change, QT prolongation and U wave. Five patients were dead in this study because of brain swelling(3 cases) and cerebral spasm(2 cases). EKG abnormalities were normalized 13 days after aneurysmal SAH. Radioactive nuclear(99mTc-pyrophosphate) scan of myocardial revealed normal findings in the patients with EKG abnormalities of neurogenic origin. It is concluded that life-saving surgical intervention need not be delayed in the patients with EKG abnormalities of neurogenic origin. On the other hand, patients who had cardiac origin EKG abnormalities need a careful and detailed preanesthetic cardiac evaluation. |
| Key Words:
Electrocardiogram; Aneurysm; Subarachnoid hemorrhage |
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