اختلالات رپلاريزاسيون نوار قلب در خونريزي تالاموس ، پوتامن و تمپورال

ECG REPOLARIZATION ABNORMALITIES IN THALAMIC ,PUTAMINAL AND TEMPORAL HEMORRHAGES

Electrocardiographic Repolarization Abnormalities(ECGRA) ;ST segment and T wave changes,QT prolongation and prominent U wave are common in patients with intracerebral hemorrhage. These ECGRA have an effect on the rehabilitation and prognosis of the patients.This descriptive - prospective study was carried out in patients with thalamic,putaminal and temporal lobe hemorrhages during a 19 month period at Emam Reza Hospital ,Birjand.The new ECGRA findings were compared with a recent ECG.Volume of hematoma was calculated by Broderick formula using brain CTScan.The relation between the hematomas volume and severity of ECGRA was tested by " Pearson " analysis .The correlation coefficient of hematoma volume and severity of ECGRA in 14 thalamic , 18 putaminal and 8 temporal lobe hematomas were r=0116,x=0,r=-0/2 respectively . Patients with small hematoma(less than 20 cubic centimeters) in thalamus had more sever ECGRA than those with putaminal and temporal lobe hematomas. The higher correlation coefficient between hematoma volume and ECGRA in thalamus is probably due to the effects of these hematomas on hypothalamic sympathetic centers.