Diagnostic value of electrocardiogram during routine electroencephalogram
| Autor: | Basheer Khassawneh, Abdel-Hameed Al-Mistarehi, Salma Y. Bashayreh, Kefah Al-Hayk, Ahmed Yassin, Sumayyah K. Abumurad, Anas M Zein Alaabdin, Mohamad I Jarrah, Khalid El-Salem, Raid M. Kofahi, Majdi Al Qawasmeh, Duha Al-Shorafat, Mohammad G. Qasaimeh |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Epileptologist Premature atrial contraction Sinus tachycardia Sinus bradycardia Prior diagnosis Electroencephalography 03 medical and health sciences Epilepsy Electrocardiography 0302 clinical medicine Seizures Internal medicine Atrial Fibrillation medicine Humans Aged Retrospective Studies medicine.diagnostic_test business.industry Atrial fibrillation General Medicine Middle Aged medicine.disease Neurology Cardiology Female Neurology (clinical) medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Seizure. 89 |
| ISSN: | 1532-2688 |
| Popis: | Introduction : A single-lead electrocardiogram (EKG) is routinely recorded with electroencephalogram (EEG). This study investigates the frequency and types of EKG abnormalities during routine EEG. Methods : All routine EEGs (20–60 min) over one year were retrospectively analyzed. A blinded cardiologist interpreted EKG recordings. An epileptologist evaluated EEGs. Demographic data, underlying comorbidities, and indications for the EEG were extracted. Results : A total of 433 recordings for 365 patients were included. Mean (±SD) age was 46.8 (±21.3) years and 50.4% were females. EKG abnormalities were detected in 28.5% of patients; sinus tachycardia (11%), premature ventricular contractions (7.9%), atrial fibrillation (Afib) (6.3%), sinus bradycardia (2.2%) and premature atrial contractions (1.1%). Afib was more common in females than males (p = 0.020), confirmed in six out of seven patients and discovered in 17 patients. Age (OR: 1.67, 95%CI: 1.05–2.66, p = 0.031), prior diagnosis of epilepsy (OR: 2.25, 95% CI: 1.22 – 4.14, p = 0.009), history of seizure (OR: 1.97, 95%CI: 1.09–3.54, p = 0.024), abnormal EEG (OR: 2.14, 95%CI: 1.25 – 3.66, p = 0.005) and EEGs evaluating seizures/epilepsy (OR: 4.18, 95% CI: 1.32 – 13.21, p = 0.015) or syncope (OR: 3.21, 95% CI: 1.16 – 8.84, p = 0.024) were independently associated with abnormal EKG. Conclusion : The frequency of EKG abnormalities captured during routine EEGs was high, with Afib being the most significant. Older age, history of epilepsy or seizure, abnormal EEGs, and EEGs evaluating seizures/epilepsy or syncope were significant predictors. These findings suggest neurologists to become more vigilant to EKG recorded during routine EEG as such findings might have diagnostic and therapeutic implications. |
| Databáze: | OpenAIRE |
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