Akut İskemik İnmede EKG ve Troponin Değişiklikleri

Key Findings & Data:The demographic data, NIHSS scores at admission, abnormal ECG findings according to Minnesota code, TnI values (normal =0.5 ng/ml), complications, localizations of the acute ischemic lesions in computed cranial tomography (CCT) and diffusion weighted images (DWI) and mRS in follow-up period were recorded.

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Conclusion & Impact:The multivariate analysis showed that T wave were independently related to elevated TnI (p

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

Introduction: Cardiac enzyme elevation and electrocardiographic (ECG) changes are frequent in ischemic stroke patients. The aims of our study were to determine the relationship between TnI levels, ECG changes and acute ischemic stroke. We compared the relationship between TnI levels and ECG changes with ischemic stroke severity, cardiovascular complications, unfavorable outcome and mortality. Materials and Methods: One hundred consecutive patients with acute ischemic stroke were included. The demographic data, NIHSS scores at admission, abnormal ECG findings according to Minnesota code, TnI values (normal =0.5 ng/ml), complications, localizations of the acute ischemic lesions in computed cranial tomography (CCT) and diffusion weighted images (DWI) and mRS in follow-up period were recorded. Results: Sixty-three patients had pathological ECG signs. ECG abnormalities were significantly more frequent in patients who had coronary artery disease, severe stroke and complications (p0.5 m/L) in 5 patients. The multivariate analysis showed that T wave were independently related to elevated TnI (p

Özet

Giriş: Akut iskemik inmede elektrokardiyografik (EKG) değişiklikler ve troponin I (TnI) yükselmesi sıktır. Bu çalışmanın amacı akut iskemik inmedeki EKG değişikliklerini ve TnI değişikliklerini incelemektir. TnI seviyeleri ve EKG değişikliklerinin iskemik inme şiddeti, kardiyovasküler komplikasyonlar, özürlülük ve mortalite ile ilişkisini karşılaştırdık. Yöntem: Ardışık 100 akut iskemik inmeli hasta çalışmaya alındı. Hastaların demografik verileri, giriş NIHSS skorları, Minnesota koduna göre anormal EKG değişiklikleri, TnI değerleri (normal =0.5 ng/ml), komplikasyonları, akut iskemik lezyonların bilgisayarlı beyin tomografisindeki veya difüzyon ağırlıklı kesitlerdeki lokalizasyonları ve takipteki mRS'leri kayıt edildi. Sonuç: Hastaların 63'ünün EKG'lerinde patolojik bulgu saptandı. Öyküsünde koroner arter hastalığı olan hastalarda EKG anormallikleri anlamlı olarak daha çok bulundu ve elektrokardiyografinin patolojik olması ile inme şiddeti ve komplikasyon varlığı açısından anlamlı bir ilişki saptandı (p0.5ng/mL) olarak bulundu. Lojistik regresyon analizinde T dalgası patolojisi anlamlı ve bağımsız olarak TnI yükselmesi ile ilişkili bulundu TnI (p

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Cite This Article

KAYA, C. T., IŞIKAY, C. T., SARILAR, A. Ç., HUSEYINOVA, S., SORGUN, M. H. (2022). Akut İskemik İnmede EKG ve Troponin Değişiklikleri. Journal of Neurological Sciences (Turkish), Cilt: 32 - Sayı: 4, 649–660. https://ajindex.com/articles/564940

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