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뇌지주막하 출혈 후 발생된 심전도 異常

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Author(s)
배정인Jung In Bae
Keimyung Author(s)
Bae, Jung In
Department
Dept. of Anesthesiology & Pain Medicine (마취통증의학)
Journal Title
대한마취과학회지
Issued Date
1998
Volume
35
Issue
6
Abstract
Background : Electrocardiogram was one of the routine monitorings not only using for preanesthetic assessment but also in the operation room and ICU. Electrocardiographic changes are reported frequently after subarachnoid hemorrhage. Preanesthetic assessment of ECG abnormalities in the patients with subarachnoid hemorrhage is important. The aim of this study was to investigate the functional significance of ECG changes for perioperative assessment of cardiac function. Methods : For premedication, patients were administered glycopyrrolate 0.2 mg 1 hour prior to induction. Induction was established with pentothal sodium, succinylcholine after precurarization and preoxygenation. N2O/O2 (2:1), isoflurane and pancuronium were administered for maintenance. The monitorings for patients were performed ECG (5 leads), direct atrial pressure, ETCO2, CVP and rectal temperature. Results : ECG abnormalities consisted of T wave abnormalities, ST segment changes, abnormal Q wave, QT interval prolongation, LVH and arrhythmia etc. We analyzed 41 of 108 SAH patients who had ECG abnormalities of neurogenic origin preoperatively. Of these, 46% in T wave, 17% in LVH, 15% in Q wave, 15% in ST segment changes and 7% in the others (CRBBB, PAC, AF) were found. Conclusions : It is concluded that we found a poor relationship between electrocardiographic changes after subarachnoid hemorrhage and evidences of myocardial dysfunction on the echocardiogram. General anesthesia in the patients of the subarachnoid hemorrhage must not be delayed in the patients with ECG abnormalities of neurogenic origin. A preanesthetic cardiac assessment in the patients with ECG abnormalities of cardiogenic origin must be always performed. (Korean J Anesthesiol 1998; 35: 1136∼1141)
Key Words: Brain; cerebral aneurysm; subarachnoid hemorrhage. Monitoring; electrocardiogram.
Alternative Title
Electrocardiographic Abnormalities after Subarachnoid Hemorrhage
Keimyung Author(s)(Kor)
배정인
Publisher
School of Medicine
Citation
배정인 and Jung In Bae. (1998). 뇌지주막하 출혈 후 발생된 심전도 異常. 대한마취과학회지, 35(6), 1136–1141. doi: 10.4097/kjae.1998.35.6.1136
Type
Article
ISSN
0302-5780
DOI
10.4097/kjae.1998.35.6.1136
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/40083
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Anesthesiology & Pain Medicine (마취통증의학)
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