6533b870fe1ef96bd12cfd9c

RESEARCH PRODUCT

Decompressive Craniectomy Improves QTc Interval in Traumatic Brain Injury Patients

Wojciech DabrowskiRafael BadenesKatarzyna KotfisChiara RobbaAndrzej JaroszyńskiDorota Siwicka-gierobaTodd T. Schlegel

subject

the index of cardio-electrophysiological balanceAdultMalemedicine.medical_specialtyDecompressive CraniectomyAdolescentIntracranial PressureTraumatic brain injuryHealth Toxicology and Mutagenesismedicine.medical_treatmentelectrocardiographylcsh:MedicineBrain damage030204 cardiovascular system & hematologyQT intervalArticleContractility03 medical and health sciencesQRS complexYoung Adult0302 clinical medicineInternal medicineBrain Injuries TraumaticmedicineHumanscardiovascular diseasesCardiac disordersmedicine.diagnostic_testbusiness.industrytraumatic brain injurylcsh:RPublic Health Environmental and Occupational Healthcardiac disordersArrhythmias CardiacMiddle Agedmedicine.diseaseTreatment Outcomecardiac arrhythmiasCardiologycardiovascular systemDecompressive craniectomyFemalemedicine.symptomIntracranial HypertensionbusinessElectrocardiography030217 neurology & neurosurgery

description

Background: Traumatic brain injury (TBI) is commonly associated with cardiac dysfunction, which may be reflected by abnormal electrocardiograms (ECG) and/or contractility. TBI-related cardiac disorders depend on the type of cerebral injury, the region of brain damage and the severity of the intracranial hypertension. Decompressive craniectomy (DC) is commonly used to reduce intra-cranial hypertension (ICH). Although DC decreases ICH rapidly, its effect on ECG has not been systematically studied. The aim of this study was to analyze the changes in ECG in patients undergoing DC. Methods: Adult patients without previously known cardiac diseases treated for isolated TBI with DC were studied. ECG variables, such as: spatial QRS-T angle (spQRS-T), corrected QT interval (QTc), QRS and T axes (QRSax and Tax, respectively), STJ segment and the index of cardio-electrophysiological balance (iCEB) were analyzed before DC and at 12&ndash

yearjournalcountryeditionlanguage
2020-11-01International Journal of Environmental Research and Public Health
10.3390/ijerph17228653http://europepmc.org/articles/PMC7700327