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ECG Changes in Intracranial Hemorrhage

All About Cardiovascular System and Disorders

Mechanism is thought to be due to sustained sympathetic stimulation, probably caused by dysfunction of insular cortex resulting in reversible neurogenic damage to the myocardium which could include contraction bands and subendocardial ischemia [2]. 2009 Nov;40(11):3478-84. Epub 2009 Aug 27. doi: 10.1161/STROKEAHA.109.556753.

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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. and in patients who developed new radiological ischemia during hospitalization (OR: 3.42, p 0.03).

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

Dr. Smith's ECG Blog

This ECG is diagnostic of diffuse subendocardial ischemia. 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.

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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. Evidence of acute ischemia (may be subtle) vii. Arch Intern Med 2009 Jul 27; 169:1262. Arch Intern Med 2009 Jul 27; 169:1305. Left BBB vi.