دورية أكاديمية
ECG changes of cardiac origin in elderly patients with traumatic brain injury.
| العنوان: | ECG changes of cardiac origin in elderly patients with traumatic brain injury. |
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| المؤلفون: | Hashemian AM; MD, Assistant Professor of Emergency Medicine, Department of Emergency Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. hashemianam@mums.ac.ir., Ahmadi K; MD, Associate Professor of Emergency Medicine, Department of Emergency Medicine, Alborz University of Medical Sciences, Karaj, Iran. ahmadik@mums.ac.ir., Taherinia A; MD, Assistant Professor of Emergency Medicine, Department of Emergency Medicine, Alborz University of Medical Sciences, Karaj, Iran. dr.alitaheriniya@gmail.com., Sharifi MD; MD, Assistant Professor of Emergency Medicine, Department of Emergency Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. sharifimd@mums.ac.ir., Ramezani J; MD, Assistant Professor of cardiology, Department of cardiology, Mashhad University of medical sciences, Mashhad, Iran. ramezanij@mums.ac.ir., Jazayeri SB; MD, General Practitioner, Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran. s.b.jazayeri@gmail.com., Saadat S; MD, Associate Professor of Epidemiology, Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran Soheil.saadat@gmail.com., Rahimi-Movaghar V; MD, Professor of Neurosurgery, Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran. v_rahimi@sina.tums.ac.ir. |
| المصدر: | Medical journal of the Islamic Republic of Iran [Med J Islam Repub Iran] 2015 Dec 13; Vol. 29, pp. 306. Date of Electronic Publication: 2015 Dec 13 (Print Publication: 2015). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Iran University of Medical Sciences Country of Publication: Iran NLM ID: 8910777 Publication Model: eCollection Cited Medium: Print ISSN: 1016-1430 (Print) Linking ISSN: 10161430 NLM ISO Abbreviation: Med J Islam Repub Iran Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Publication: July 2013- : Tehran : Iran University of Medical Sciences Original Publication: 1987-November 2010 : Tehran : Iran University of Medical Sciences |
| مستخلص: | Background: Simultaneous electrocardiographic (ECG) changes are seen in hemorrhagic brain events even in the absence of associated myocardial infarction (MI). This study was designed to assess the role of ECG changes to predict true MI in patients with hemorrhagic brain trauma. Methods: Data of 153 patients with traumatic brain injury and concomitant ECG changes were recorded. Enzyme study was performed for the patients, and a cardiologist confirmed the diagnosis of MI. Results: Overall, 83 females and 70 males older than 50 years of age were enrolled in the study. The most common type of hemorrhagic brain event was subarachnoid hemorrhage, and the most common ECG change was an inverted T wave. MI was confirmed in 15 (9.8%) patients. Patients with intracranial hemorrhage had significantly (p= 0.023) higher rates of associated MI than other types of brain hemorrhages. ST segment elevation was found to have a positive predictive value of 71.4% in males and 25% in females in terms of diagnosing a true MI associated with hemorrhagic brain events. Conclusion: Although simultaneous cardiac changes are seen after sympathetic over- activity in brain hemorrhages, regular ECG screening of elder patients with traumatic brain injury is suggested, particularly in patients with intracranial hemorrhages. |
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| فهرسة مساهمة: | Keywords: Electrocardiography; Intracranial Hemorrhage; Myocardial Infarction; Positive Predictive Value; Subarachnoid Hemorrhage; Traumatic Brain Injury |
| تواريخ الأحداث: | Date Created: 20160226 Date Completed: 20160225 Latest Revision: 20181113 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC4764264 |
| PMID: | 26913269 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1016-1430 |
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