Abstract
Acute cerebrovascular events, especially intracranial bleeding, can lead to electrocardiographic changes, including QT interval prolongation, T wave inversion, and ST segment elevation or depression. These ECG modifications can occur in absence of concomitant ischaemic heart disease and might be reversible after neurological recovery. Arrhythmias can also occur, in particular atrial fibrillation, but also malignant ventricular arrhythmias. The reasons leading to ECG changes and incidence of arrhythmias are uncertain, and further research is needed to clarity this association.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Dimant J, Grob D (1977) Electrocardiographic changes and myocardial damage in patients with acute cerebrovascular accidents. Stroke 8(4):448–455
Hachinski VC (1993) The clinical problem of brain and heart. Stroke 24(12 Suppl):I1–I2; discussion I10–2
Korpelainen JT, Sotaniemi KA, Huikuri HV (1997) MyllyläVV Circadian rhythm of heart rate variability is reversibly abolished in ischemic stroke. Stroke 28(11):2150
Byer E, Ashman R (1947) Toth La Electrocardiograms with large, upright T waves and long Q-T intervals. Am Heart J 33(6):796
Kallmünzer B, Breuer L, Kahl N, Bobinger T, Raaz-Schrauder D, Huttner HB, Schwab S, Köhrmann M (2012) Serious cardiac arrhythmias after stroke: incidence, time course, and predictors--a systematic, prospective analysis. Stroke 43(11):2892–2897. Epub 2012 Sep 6
Goldstein DS (1979) The electrocardiogram in stroke: relationship to pathophysiological type and comparison with prior tracings. Stroke 10(3):253
Rem JA, Hachinski VC, Boughner DR, Barnett HJ (1985) Value of cardiac monitoring and echocardiography in TIA and stroke patients. Stroke 16(6):950
Yamour BJ, Sridharan MR, Rice JF (1980) Flowers NC Electrocardiographic changes in cerebrovascular hemorrhage. Am Heart J 99(3):294
Cruickshank JM, Neil-Dwyer G, Brice J (1974) Electrocardiographic changes and their prognostic significance in subarachnoid haemorrhage. J Neurol Neurosurg Psychiatr 37:755–759. doi:10.1136/jnnp.37.6.755
Hachinski VC, Oppenheimer SM, Wilson JX et al (1992) Asymmetry of sympathetic consequences of experimental stroke. Arch Neurol 49:697
Lane RD, Wallace JD, Petrosky PP et al (1992) Supraventricular tachycardia in patients with right hemisphere strokes. Stroke 23:362
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Urbinati, A., Brambatti, M. (2015). Intracranial Bleeding. In: Capucci, A. (eds) Clinical Cases in Cardiology. Springer, Cham. https://doi.org/10.1007/978-3-319-19926-9_4
Download citation
DOI: https://doi.org/10.1007/978-3-319-19926-9_4
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-19925-2
Online ISBN: 978-3-319-19926-9
eBook Packages: MedicineMedicine (R0)