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Rania El Hoseiny, et al
Review of literature revealed studies conducted
only on evaluation of cardiac dysfunction due to
traumatic brain injury.
Bahloul, et al, in 2006, studied cardiac dysfunction
due to traumatic brain injury in 202 patients,
only two patients (representing about 1%) reported
to have global hypokinesia with a decrease in
LVEF to 0.40 that completely recovered during
follow-up 7 days after the initial study [28].
Wittebole, et al, in 2005, described-in the previously
mentioned case report-hypokinesia of the
inferior wall of the left ventricle that normalized
on day 6 after the trauma [19].
7- Regarding the correlation between neurological
status and ECG analysis:
In the present study we found a statistically
significant higher frequency of abnormal ECG in
day 1 in those patients with severe aneurysmal
SAH (100%) when compared to those with mild
aneurysmal SAH (58.3%) [p value=0.035], then
there was a tendency toward higher frequency of
abnormal ECG in day 7 in those patients with
severe SAH as compared to those with mild SAH,
yet this tendency lacked any statistical significance
(75% versus 41.7%, p value=0.142).
Similarly, Zaroff, et al, in 1999, who studied
ECG abnormalities in aneurysmal SAH and their
correlation with neurological status (assessed with
Hess & Hunt score), their study was conducted on
58 patients and they concluded that ECG abnormalities
are associated with more severe neurological
injury [9].
Contrary to our results the data published by
Penka, et al, in 2005, who studied the correlation
between ECG abnormalities in aneurysmal SAH
patients and the degree of neurological impairment
(assessed with Hess & Hunt score),they concluded
higher frequency of ECG changes (88.89%) in
patients with lower grades of neurological impairement
(patients with Hess & Hunt score 1&2)
(p