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Medical Journal of Islamic Republic of Iran، جلد ۲۹، شماره ۱، صفحات ۱۲۴۹-۱۲۵۴
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چکیده فارسی مقاله
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عنوان انگلیسی ECG changes of cardiac origin in elderly patients with traumatic brain injury
چکیده انگلیسی مقاله Background: Simultaneous electrocardiographic (ECG) changes are seen in hemorrhagic brain events even in the absence of associated myocardial infarction (MI). This study was designed to assess the role of ECG changes to predict true MI in patients with hemorrhagic brain trauma. Methods: Data of 153 patients with traumatic brain injury and concomitant ECG changes were recorded. Enzyme study was performed for the patients, and a cardiologist confirmed the diagnosis of MI. Results: Overall, 83 females and 70 males older than 50 years of age were enrolled in the study. The most common type of hemorrhagic brain event was subarachnoid hemorrhage, and the most common ECG change was an inverted T wave. MI was confirmed in 15 (9.8%) patients. Patients with intracranial hemorrhage had significantly (p= 0.023) higher rates of associated MI than other types of brain hemorrhages. ST segment elevation was found to have a positive predictive value of 71.4% in males and 25% in females in terms of diagnosing a true MI associated with hemorrhagic brain events. Conclusion: Although simultaneous cardiac changes are seen after sympathetic over- activity in brain hemorrhages, regular ECG screening of elder patients with traumatic brain injury is suggested, particularly in patients with intracranial hemorrhages.
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نویسندگان مقاله امیر مسعود هاشمیان | amir masoud hashemian
department of emergency medicine, mashhad university of medical sciences, mashhad, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی مشهد (Mashhad university of medical sciences)

کورش احمدی | koorosh ahmadi
department of emergency medicine, alborz university of medical sciences, karaj, iran.

سازمان های دیگر: دانشگاه علوم پزشکی البرز

علی طاهری نیا | ali taherinia
department of emergency medicine, alborz university of medical sciences, karaj, iran.

سازمان های دیگر: دانشگاه علوم پزشکی البرز

محمد داود شریفی | mohamad davood sharifi
department of emergency medicine, mashhad university of medical sciences, mashhad, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی مشهد (Mashhad university of medical sciences)

جواد رمضانی | javad ramezani
department of cardiology, mashhad university of medical sciences, mashhad, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی مشهد (Mashhad university of medical sciences)

سیدبهزاد جزایری | seyed behzad jazayeri
sina trauma and surgery research center, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

سهیل سعادت | soheil saadat
sina trauma and surgery research center, tehran university of medical sciences, tehran, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

وفا رحیمی موقر | vafa rahimi movaghar
sina trauma and surgery research center, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

نشانی اینترنتی http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1-936&slc_lang=en&sid=en
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