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Binod Poudel

Medi plus Hospital , Nepal

Title: Changes in EKG in Patients with Spontaneous Subarachnoid Hemorrhage: A Cross-Sectional Study

Abstract

This retrospective cross-sectional study conducted at Tribhuvan University Teaching Hospital in 2019 aimed to assess the prevalence of electrocardiographic (ECG) changes in non-traumatic subarachnoid hemorrhage (SAH) cases. Analyzing ECG recordings from 45 patients, we found that 88.8% exhibited some form of ECG abnormality, with the most common being QTc prolongation, T-wave abnormalities, and bradycardia in 35.5%, 24.4%, and 24.4% of patients, respectively. Additional observed changes included ST depression, large U-waves, atrial fibrillation, and premature ventricular contractions. These findings highlight the frequent occurrence of morphological and rhythm abnormalities in SAH patients, potentially leading to diagnostic dilemmas and unnecessary investigations, emphasizing the need for further research to determine the clinical significance of these ECG changes and their correlation with patient outcomes.

Biography

Binod Poudel is a graduate of Institute of Medicine, Tribhuvan University, Nepal. He is currently working in Medi plus Hospital and Trauma center as an independent physician.  He has published case reports, case series and original articles as a first author.