AI Summary & Key Takeaways
AI InsightAll of the ECGparameters in the AIS group and the control group were statisticallysignificantly different between the groups except Tpe-D (p=0.454) (ForQT, QTc, Tpe, Tpe/QTc, and Tpe/QT; p=0.003, 0.022, 5 (p=0.480, 0.688, 0.663, 0.512, 0.333, respectively).Conclusions: Arrhythmia susceptibility markers including QT, QTc, Tpe,the values of Tpe-D, Tpe/QT, and Tpe/QTc are different in AIS patientscompared to the individuals in the control group; therefore, theseparameters can be included among the other parameters of closecardiac monitoring.
📌 3 Key Takeaways
Abstract
Introduction: Arrhythmias are one of the most common causes ofmortality in patients with acute ischemic stroke (AIS). This study aimedto investigate the relationships of arrhythmia susceptibility markers (QT,QTc, Tpe, Tpe-D, Tpe/QT, and Tpe/QTc) with the localization and volumeof the ischemic area, the National Institutes of Health Stroke Scale(NIHSS) scores, and troponin levels in AIS.Methods: Patients diagnosed with AIS in the emergency department in theperiod from 01 November 2016 to 31 March 2019 were retrospectivelyreviewed. Patients admitted to the emergency department with nopathological ECG findings were included. The measurements of QT,QTc, Tpe, Tpe-D, Tpe/QTc, and Tpe/QT were performed under a digitalmicroscope. The NIHSS scores, troponin values, and the ischemic areavolume based on the diffusion-weighted magnetic resonance imagingfindings at the time of admission were found.Results: A total of 135 patients, comprising 70 AIS patients and 65individuals as controls, were included in the study. The male/femaleratio was 73/62 and the mean age was 68.51±10.80 years. All of the ECGparameters in the AIS group and the control group were statisticallysignificantly different between the groups except Tpe-D (p=0.454) (ForQT, QTc, Tpe, Tpe/QTc, and Tpe/QT; p=0.003, 0.022, 5 (p=0.480, 0.688, 0.663, 0.512, 0.333, respectively).Conclusions: Arrhythmia susceptibility markers including QT, QTc, Tpe,the values of Tpe-D, Tpe/QT, and Tpe/QTc are different in AIS patientscompared to the individuals in the control group; therefore, theseparameters can be included among the other parameters of closecardiac monitoring.
Özet
Amaç: Aritmiler, akut iskemik inme (Aİİ) olgularında en sık mortalite sebeplerinden biridir. Çalışmada, Aİİ’de aritmiye yatkınlık belirteçlerinin (QT, QTc, Tpe, Tpe-D, Tpe/QT ve Tpe/QTc), iskemik alan lokalizasyonu ve volümü, The National Institutes of Health Stroke Scale (NIHSS) skoru ve troponin düzeyleri arasındaki ilişkinin araştırılması amaçlandı. Yöntem: 01 Kasım 2016 ve 31 Mart 2019 tarihleri arasında acil serviste Aİİ tanısı konulan hastalar retrospektif olarak incelendi. Kontrol grubu için acil servise başvurup EKG’lerinde patoloji tespit edilmeyen hastalar seçildi. Dijital mikroskop altında QT, QTc, Tpe, Tpe-D, Tpe/QTc, Tpe/ QT ölçümleri yapıldı. Başvurudaki NIHSS skorları, troponin değerleri ve difüzyon ağırlıklı manyetik rezonans görüntülemeleri üzerinden iskemik alan hacmi hesaplandı. Bulgular: Çalışmaya 70 Aİİ ve 65 kontrol grubu olmak üzere 135 hasta dahil edildi. Erkek/kadın oranı 73/62 ve yaş ortalaması 68,51±10,80 olarak bulundu. Aİİ grubu ile kontrol grubu EKG ölçümleri açısından karşılaştırıldığında Tpe-D (p=0,454) hariç diğer tüm parametrelerde (QT, QTc, Tpe, Tpe/QTc, Tpe/QT) istatistiksel olarak anlamlı farklılık saptandı (sırasıyla; p=0,003, 0,022,