Analysis of echocardiographic characteristics in patients with acute intracerebral hemorrhage

Abstract

Purpose: The aim of this article is to evaluate the effect of basal ganglia hemorrhage on cardiac functions in the acute stage using transthoracic echocardiography. Methods: Based on the data regarding computerize tomography and echocardiography data on the PACS imaging system of a single comprehensive medical center, a total of 110 cases with acute basal ganglia hemorrhage were analyzed retrospectively. The patients were further divided into four groups depending on the localization and extension of the hemorrhage as right basal ganglia hemorrhage (group 1), left basal ganglia hemorrhage (group 2), right basal ganglia hemorrhage with expansion into the ventricles (group 3) and left basal ganglia hemorrhage with expansion into the ventricles (group 4). Cardiac functions based on echocardiography findings were compared between groups. Results: There were 70 males (63.6%) and 40 females (36.7%) in this cohort with average an age of 59.45±10.26 years. The thickness of the diastolic interventricular septum was less than 11 mm. The difference in the amount of bleeding was significantly different between group 3 compared with group 1 (p = 0.041). The end systolic left ventricular diameter (LVDS) was significantly different between group 4 compared with group 1 (p = 0.030). The blood loss correlated with Pearson peak of mitral valve e′ (p = 0.034), and with Pearson peak of mitral annulus e′ (p = 0.037). There was no statistical significance in other echocardiographic parameters. Conclusion: Acute intracerebral hemorrhage in basal ganglia is associated with left ventricular diastolic dysfunction.

Keywords

• Intracerebral hemorrhage
• Basal ganglia
• Echocardiography
• Computed tomography