The Impact of Age on Electrocardiographic Findings of Stroke Patients: A Cross-Sectional Analytic Study
DOI:
https://doi.org/10.47941/ijhs.1338Keywords:
Stroke, Cerebrovascular accident, Electrocardiography, Ischaemic heart diseaseAbstract
Purpose: To evaluate differences in ECG abnormalities in stroke patients in relation to age groups (less than forty, forty to sixty-five and greater than sixty-five years) in the University of Benin Teaching Hospital (UBTH)
Methodology: This was a cross-sectional analytical study carried out at the University of Benin Teaching Hospital (UBTH), Benin. The study subjects consisted of consecutive one hundred and twenty admitted stroke patients who met the inclusion criteria. History and physical examination were carried out for all patients with laboratory investigations and electrocardiographic examinations also performed on all patients. The data was analyzed using SPSS version 21 software with a P-value of less than 0.05 considered significant for all comparisons.
Result: In this study, stroke was more in those under sixty-five years (n = 84, 70.00%) than in those above sixty-five years (n = 36, 30.00%). All (100.00%), 56 (77.78%) and 24 (66.67%) of cases less than forty, forty to sixty-five years and greater than sixty-five years respectively in this study had ECG abnormalities, this was significant (p = 0.021).
Unique Contribution to Theory, Policy and Practice: Left ventricular hypertrophy predominates in less than forty years old cases while left axis deviation predominates in older than forty years cases. Some ECG abnormalities in certain age groups
Downloads
References
World Health Organization. (1978). Cerebrovascular disorders: a clinical and research classification. World Health Organization. https://apps.who.int/iris/handle/10665/37194
Boutayeb, A., & Boutayeb, S. (2005). The burden of non communicable diseases in developing countries. International journal for equity in health, 4(1), 2. https://doi.org/10.1186/1475-9276-4-2
Ellekjaer, H., Holmen, J., Indredavik, B., & Terent, A. (1997). Epidemiology of stroke in Innherred, Norway, 1994 to 1996. Incidence and 30-day case-fatality rate. Stroke, 28(11),
-2184. https://doi.org/10.1161/01.str.28.11.2180
Kocan M. J. (1999). Cardiovascular effects of acute stroke. Progress in cardiovascular nursing, 14(2), 61-67.
Goldstein D. S. (1979). The electrocardiogram in stroke: relationship to pathophysiological type and comparison with prior tracings. Stroke, 10(3), 253-259. https://doi.org/10.1161/01.str.10.3.253
Familoni, O. B., Odusan, O., & Ogun, S. A. (2006). The pattern and prognostic features of QT intervals and dispersion in patients with acute ischemic stroke. Journal of the National Medical Association, 98(11), 1758-1762.
Tokgözoglu, S. L., Batur, M. K., Topçuoglu, M. A., Saribas, O., Kes, S., & Oto, A.
(1999). Effects of stroke localization on cardiac autonomic balance and sudden death. Stroke, 30(7), 1307-1311. https://doi.org/10.1161/01.str.30.7.1307
Donnan, G. A., Fisher, M., Macleod, M., & Davis, S. M. (2008). Stroke. Lancet (London, England), 371(9624), 1612-1623. https://doi.org/10.1016/S0140-6736(08)60694-7
Boehme, A. K., Esenwa, C., & Elkind, M. S. (2017). Stroke Risk Factors, Genetics, and
Prevention. Circulation research, 120(3), 472-495.
https://doi.org/10.1161/CIRCRESAHA.116.308398
National Institute of Neurological Disorders and Stroke (NINDS).'Stroke Hope Through Research'. National Institute of Health.1999.112-5
Wang J. 'Preclinical and clinical research on inflammation after intracerebral haemorrhage'. Prog. Neurobiol. 2010; 92: 463-77.
Oppenheimer S M, Hachinski V C. The cardiac consequence of stroke. Neurol Clin.1992;10 :167- 76.
Oppenheimer, S. M., Saleh, T., & Cechetto, D. F. (1992). Lateral hypothalamic area neurotransmission and neuromodulation of the specific cardiac effects of insular cortex stimulation. Brain research, 581(1), 133-142. https://doi.org/10.1016/0006-8993(92)90352-a
Ogun, S. A., Oluwole, O., Fatade, B., Ogunseyinde, A. O., Ojini, F. I., & Odusote, K. A. (2002). Comparison of Siriraj Stroke Score and the WHO criteria in the clinical classification of stroke subtypes. African journal of medicine and medical sciences, 31(1), 13-16.
Imarhiagbe, F. A., Akemokwe, F. M., Unuigbe, E. I., & Ndiaye, M. M. (2012). Clinical diagnosis of intracerebral haemorrhage: validation of a simple scoring tool in West Africans. West African journal of medicine, 31(3), 172-175.
Srikanth Tandur, Suraj Sundaragiri (2016) A study of electrocardiographic changes in acute cerebrovascular accidents. International Journal of Medical Science and Public Health, 5 (12), 2560-2565. doi:10.5455/ijmsph.2016.23052016525
Akyea, R. K., Vinogradova, Y., Qureshi, N., Patel, R. S., Kontopantelis, E., Ntaios, G., Asselbergs, F. W., Kai, J., & Weng, S. F. (2021). Sex, Age, and Socioeconomic
Differences in Nonfatal Stroke Incidence and Subsequent Major Adverse Outcomes.
Stroke, 52(2), 396-405. https://doi.org/10.1161/STROKEAHA.120.031659
Pirinen, J., Putaala, J., Aro, A. L., Surakka, I., Haapaniemi, A., Kaste, M., Haapaniemi, E., Tatlisumak, T., & Lehto, M. (2015). Resting 12-lead electrocardiogram reveals high-risk sources of cardioembolism in young adult ischemic stroke. International journal of cardiology, 198, 196-200. https://doi.org/10.1016/j.ijcard.2015.06.095
Yu, L., Ye, X., Yang, Z., Yang, W., Zhang, B., & China National Diabetes and Metabolic Disorders Study Group (2020). Prevalences and associated factors of electrocardiographic abnormalities in Chinese adults: a cross-sectional study. BMC cardiovascular disorders, 20(1), 414. https://doi.org/10.1186/s12872-020-01698-5
Prineas, R. J., Le, A., Soliman, E. Z., Zhang, Z. M., Howard, V. J., Ostchega, Y., Howard, G., & Reasons for Geographic and Racial Differences in Stroke (REGARDS) Investigators (2012). United States national prevalence of electrocardiographic abnormalities in black and white middle-age (45- to 64-Year) and older (≥65-Year) adults (from the Reasons for Geographic and Racial Differences in Stroke Study). The
American journal of cardiology, 109(8), 1223-1228. https://doi.org/10.1016/j.amjcard.2011.11.061
Jeong, J. H., Kim, J. H., Park, Y. H., Han, D. C., Hwang, K. W., Lee, D. W., Oh, J. H., Song, S. G., Kim, J. S., Chun, K. J., Hong, T. J., & Shin, Y. W. (2004). Incidence of and risk factors for bundle branch block in adults older than 40 years. The Korean journal of internal medicine, 19(3), 171-178. https://doi.org/10.3904/kjim.2004.19.3.171
Agarwal, S. K., & Soliman, E. Z. (2013). ECG abnormalities and stroke incidence.
Expert review of cardiovascular therapy, 11(7), 853-861. https://doi.org/10.1586/14779072.2013.811980
Pirinen, J., Eranti, A., Knekt, P., Lehto, M., Martinez-Majander, N., Aro, A. L., Rissanen, H., Heliövaara, M., Kaste, M., Tatlisumak, T., Huikuri, H., & Putaala, J. (2017). ECG markers associated with ischemic stroke at young age - a case-control study. Annals of medicine, 49(7), 562-568. https://doi.org/10.1080/07853890.2017.1348620
Asadi, P., Zia Ziabari, S. M., Naghshe Jahan, D., & Jafarian Yazdi, A. (2019). Electrocardiogram Changes as an Independent Predictive Factor of Mortality in Patients with Acute Ischemic Stroke; a Cohort Study. Archives of academic emergency medicine, 7(1), e27.
Wolf, P. A., Abbott, R. D., & Kannel, W. B. (1991). Atrial fibrillation as an independent risk factor for stroke: the Framingham Study. Stroke, 22(8), 983-988. https://doi.org/10.1161/01.str.22.8.983
Dimant, J., & Grob, D. (1977). Electrocardiographic changes and myocardial damage in patients with acute cerebrovascular accidents. Stroke, 8(4), 448-455. https://doi.org/10.1161/01.str.8.4.448
Amin, O. S. M., Al-Bajalan, S. J., & Mubarak, A. (2017). QTc Interval Prolongation and Hemorrhagic Stroke: Any Difference Between Acute Spontaneous Intracerebral
Hemorrhage and Acute Non-traumatic Subarachnoid Hemorrhage?. Medical archives
(Sarajevo, Bosnia and Herzegovina), 71(3), 193-197. https://doi.org/10.5455/medarh.2017.71.193-197
Solenski, N. J., Haley, E. C., Jr, Kassell, N. F., Kongable, G., Germanson, T., Truskowski, L., & Torner, J. C. (1995). Medical complications of aneurysmal subarachnoid hemorrhage: a report of the multicenter, cooperative aneurysm study. Participants of the Multicenter Cooperative Aneurysm Study. Critical care medicine, 23(6), 1007-1017.
https://doi.org/10.1097/00003246-199506000-00004
Yamour, B. J., Sridharan, M. R., Rice, J. F., & Flowers, N. C. (1980). Electrocardiographic changes in cerebrovascular hemorrhage. American heart journal, 99(3), 294-300. https://doi.org/10.1016/0002-8703(80)90343-9
Di Pasquale, G., Pinelli, G., Andreoli, A., Manini, G. L., Grazi, P., & Tognetti, F. (1988). Torsade de pointes and ventricular flutter-fibrillation following spontaneous cerebral subarachnoid hemorrhage. International journal of cardiology, 18(2), 163-172. https://doi.org/10.1016/0167-5273(88)90162-3
Sommargren CE, Warner R, Zaroff JG. Electrocardiographic abnormalities in patients with subarachnoid hemorrhage and normal adults: A comparison study. J Electrocardiol
; 37(Suppl 1):42-3. doi.org/10.1016/j.jelectrocard.2004.08.011
Downloads
Published
How to Cite
Issue
Section
License
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution (CC-BY) 4.0 License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.