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ECG Changes in Intracranial Hemorrhage

All About Cardiovascular System and Disorders

Sometimes cardiac troponin elevation may accompany ECG changes in aneurysmal subarachnoid hemorrhage. It was found that cardiac injury was incrementally worse with increasing severity of aneurysmal subarachnoid hemorrhage and was associated with persistent prolongation of QTc and ventricular arrhythmias. 2009 Nov;40(11):3478-84.

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Abstract WP26: Determinants of Neuropsychological Function after Aneurysmal Subarachnoid Hemorrhage

Stroke Journal

This study aimed to analyze the clinical variables associated with the neuropsychological function in a large cohort of aSAH survivors.Methods:Patients with aSAH admitted to our institution since 2009 were recruited.

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Subacute AnteroSeptal STEMI, With Persistent ST elevation and Upright T-waves

Dr. Smith's ECG Blog

Additionally , these patients have a high incidence of LV aneurysm with mural thrombus. Apr 28, 2009. In the case of septal MI, as here, be on the alert for development of a ventricular septal defect. Bedside echo may detect these in a timely way. Although rupture has a high mortality, it is not uniformly fatal References 1.

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Middle Aged Woman with Asystolic Cardiac Arrest, Resuscitated: Cath Lab?

Dr. Smith's ECG Blog

She went for a head CT and had a severe subarachnoid hemorrhage (SAH) due to ruptured aneurysm. Methods: Between June 2007 - July 2009 all NT-OHCA patients aged >18, transported to our hospital, an urban, level one trauma teaching hospital were included. Unfortunately, but not surprisingly, the patient died a neurologic death.

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Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

Look for Vascular Etiology -- think of these while doing H and P: --Bleeding: ruptured AAA, GI bleed, ruptured ectopic pregnancy, other spontaneous bleed such as mesenteric aneurysms. Yield of Diagnostic Tests in Evaluating Syncopal Episodes in Older Patients Arch Intern Med 2009 Jul 27; 169:1299-1305. Ann Emerg Med 2009 Dec; 54:769.