Correlation between National Institute Health Stroke Scale and QT Dispersion In Acute Ischemic Stroke

Widya Prawirani Siahaan; Cut Aria Arina; Kiki Mohammad Iqbal

doi:10.47353/jsocmed.v3i1.120

Correlation between National Institute Health Stroke Scale and QT Dispersion In Acute Ischemic Stroke

Widya Prawirani Siahaan
Resident of Neurology Department, Faculty of Medicine, Universitas Sumatera Utara/ H. Adam Malik Hospital, Medan, Indonesia
Cut Aria Arina
Staff of Neurology Department, Faculty of Medicine, Universitas Sumatera Utara/ H. Adam Malik Hospital, Medan, Indonesia
Kiki Mohammad Iqbal
Staff of Neurology Department, Faculty of Medicine, Universitas Sumatera Utara/ H. Adam Malik Hospital, Medan

Abstract

Introduction: Stroke is a global health problemwhose incidence is increasing every year throughout the world. Stroke can cause disorders of the autonomic system in sufferers including cardiovascular disorders. Several studies examining cardiovascular disorders after acute stroke using electrocardiography (ECG), one of which is the QT Dispersion. The aim of this study was to examine the relationship between the National Institute of Health Stroke Scale and the QT Dispersion.

Method: This research is analytic correlation with cross-sectional design. The study sample consisted of 50 acute ischemic stroke patients. QT Dispersion were assessed based on the results of the ECG examination on the first day of treatment. Stroke outcome assessment using the NIHSS score was assessed on the first day of treatment.

Results: The mean age of the 50 subjects is 57,28±12,216. The majority were male (64%), the majority were Batak (72%), 58% Subjects graduated fromsenior high school and the majority works as housewives 32%. The mean NIHSS value obtained was 8,74±6,599.81 and the mean QTd value was 142,40±73,250 ms. The most common infarct site in this study were basal ganglia (21%). There was a significant correlation between NIHSS scores and QTd in acute ischemic stroke patients (r= 0,668, p<0.05).

Conclusion: There was a significant relationship between NIHSS scores and QT dispersion in acute ischemic stroke patients (p<0.05).

Similar Articles

Utama Hadiputra Surbakti, R.A. Dwi Pujiastuti, Kiking Ritarwan, Associations between Depression and Anxiety with Sleep Quality in Post Stroke Patients , Journal of Society Medicine: Vol. 2 No. 3 (2023): March
Rahmah Evelin Lubis, Diza Tanzira, Nurhakiki Zahara Arif, Cardiovascular Disease with COVID-19 in Rural Area: Case Series , Journal of Society Medicine: Vol. 2 No. 6 (2023): June
Dean Reza Purnama , Julyta Aliah, Indra Indra , Hemoperitoneum in Pregnancy: A Case Series and Clinical Management Insights , Journal of Society Medicine: Vol. 4 No. 8 (2025): August
David Sahat , Nurita Dian Kestriani , Annisa Isfandiary Ismandiya, Comprehensive Management of Septic Shock Secondary to Intra-Abdominal Infection Complicated by Acute Respiratory Distress Syndrome: A Case Report , Journal of Society Medicine: Vol. 5 No. 2 (2026): February
Dian Irawati, Erwin Pradian, Management of Severe Head Injury Patients with Concurrent Metabolic Disorders, Hyperkalemia, Stage III Acute Kidney Injury, and Suspected Alcohol Intoxication Using Renal Replacement Therapy in ICU , Journal of Society Medicine: Vol. 4 No. 11 (2025): November
Har Rawishwar Singh Dhilion, Ali Nafiah Nasution, Andika Sitepu, Association between Systemic Inflammatory Immunity Index and Intracoronary Thrombus Burden in Acute Myocardial Infarction with ST Segment Elevation (IMA EST) Patients Undergoing Primary Percutaneous Coronary Intervention at Haji Adam Malik Hospital , Journal of Society Medicine: Vol. 3 No. 2 (2024): February
Rifki Mirza Alfuadi , Anggia Chairuddin Lubis , Yuke Sarastri-Hilfan Ade Putra , The Left Atrioventricular Coupling Index as a Predictor of Major Cardiovascular Events in Chronic Heart Failure Patients at Adam Malik Hospital Medan , Journal of Society Medicine: Vol. 4 No. 6 (2025): June
T. Abdul Karim, Dadik Wahyu Wijaya, Rr Sinta Irina, Relationship Blood Gas Analysis And Hemostasis Physics In Multiple Trauma Patients In Adam Malik Hospital Medan , Journal of Society Medicine: Vol. 2 No. 1 (2023): January
Bramantyo Pamugar, Dhany Budipratama, Lung Protective Strategy in Acute Respiratory Distress Syndrome with Approach of Compliance and Mechanical Power , Journal of Society Medicine: Vol. 2 No. 10 (2023): October
Ridho Kurnia Indra, Andre Pasha Ketaren, Hilfan Ade Putra, Correlation Between Pursuit Score And Severity Of Coronary Artery Lesion Assessed by Syntax Score Among Non-ST-Segment Elevation Myocardial Infarction (NSTEMI) Patients in Adam Malik Hospital Medan , Journal of Society Medicine: Vol. 2 No. 8 (2023): August

<< < 1 2 3 4 5 6 7 8 > >>

You may also start an advanced similarity search for this article.

PDF

Published at

31. January 2024
https://doi.org/10.47353/jsocmed.v3i1.120
Issue:

Vol. 3 No. 1 (2024): January
Section:

Articles
Keywords:

QT Dispersion NIHSS Acute Stroke ECG
References:

Feigin VL, Norrving B, Mensah GA. Global Burden of Stroke. Circ Res. 2017;120(3):439-448.

Pinzon RT, Wijaya VO. Complications as Poor Prognostic Factors in Patients with Hemorrhagic Stroke: A Hospital-Based Stroke Registry. Int J Neurother. 2020; 7 (1): 1– 8.

Al-Qudah ZA, Yacoub HA, Souayah N. Disorders of Autonomic System After Hemispheric Cardivascular Disorders : an Update. J Vasc Interv Neurol. 2015; 8 (4): 43-52.

Chen Z, Venkat P, Seyfried D, Chopp M, Yan T, Chen J. Brain-Heart Interaction: Cardiac Complications After Stroke. Circ Res. 2017; 121 (4): 451-468.

Rahar KK, Pahadiya HR, Barupal KG, Mathur CP, Lakhotia M. The QT dispersion and QTc dispersion in patients presenting with acute neurological events and its impact on early prognosis. J Neurosci Rural Pract. 2016; 7: 61-6.

Asadi P, Ziabari SMZ, Jahan DN, Yazdi AJ. Electrocardiogram Changes as an Independent Predictive Factor ofMortality in Patients with Acute Ischemic Stroke; a Cohort Study. Arch Acad EmergMed. 2019; 7 (1): 1 - 5.

Kaya A, Arslan Y, Ozdogan O, Tokucoglu F, Sener U, Zorlu Y. Electrocardiographic Changes and Their Prognostic Effect in Patients with Acute Ischemic Stroke without Cardiac Etiology. Turk J Neurol. 2018; 24: 134-142.

Lederman YS, Balucani C, Lazar J, Steinberg L, Gugger J, Levine SR. Relationship between QT Interval Dispersion in Acute Stroke and Stroke Prognosis: A Systematic Review. J Stroke Cerebrovasc Dis. 2014; 23 (10): 2467-2478.

Tang H, Sun J, Wang Y, Jie X, Ma Y, Wang A. et al. QT Interval Dispersion as a Predictor of Clinical Outcome in Acute Ischemic Stroke. Front. Neurol. 2021; 11: 1 - 7.

Katsanos AH, Korantzopoulos P, Tsivgoulis G, Kyritsis AP, Kosmidou M, Giannopoulos S. Electrocardiographic Abnormalities and Cardiac Arrhythmias in Structural Brain Lesion. Int J Cardiol. 2013; 167 (2): 328-34.

Ozturk U, Ozturk O, Tamam Y. Relationship between Stroke Severity and Repolarization Parameters in Patients With Acute Ischemic Stroke. Cukurva Med J. 2019; 44 (1): 539-546.

Nawaz B, Eide GE, Fromm A, Øygarden H, Sand KM, Thomassen L. Young ischaemic stroke incidence and demographic characteristics – The Norwegian stroke in the young study – A three-generation research program. European Stroke Journal. 2019; 4 (4): 347–54.

Laily SR. Hubungan Karakteristik Penderita Hipertensi dengan Kejadian Stroke Iskemik. Jurnal Berkala Epidemiologi. 2017; 5 (1): 48 – 59.

Jojang H, Runtuwene T, Maja PSJ, Perbandingan NIHSS pada pasien stroke hemoragik dan non-hemoragik yang rawat inap di Bagian Neurologi RSUP Prof. Dr. R. D. Kandou Manado. e-CliniC. 2016; 4 (1): 1-4.

Wang Y, Dai Y, Zheng J, et al. Sex Difference in the Incidence of Stroke and Its Corresponding Influence Factors: Results From a Follow-up 8.4 Years of Rural China Hypertensive Prospective Cohort Study. Lipids Health Dis. 2019; 18 (1): 72.

Tambunan LPS, Sjahrir H, Arina CA. The Difference of Stroke Risk Factor between Bataknese and NonBataknese at H. Adam Malik General Hospital. Indonesian Journal of Medicine. 2019; 4 (2): 122-34

Bhargava P, Singh R. Electrocardiographic Changes After Spontaneous Intracerebral Hemmorhage. Indian J Neurosurg. 2019; 8: 16-19.

Lederman YS, Balucani C, Steinberg LR, Philip C, Lazar JM, Weedon J, et al. Does the Magnitude of the Electrocardiogram QT Interval Dispersion Predict Stroke Outcome?. J Stroke Cerebrovasc Dis. 2019; 28 (1): 44-48.

Cheng WB, Li D, Yang Q, Hou YM. Relationship Between Abnormal Vagus Nerve Tension and Basal Ganglia Cerebral Infarction Induced Paroxysmal Atrial Fibrillation. Asian Pac J Trop Med. 2017; 10 (9): 921-924.

Sposato LA, Hilz MJ, Aspberg S, Murthy SB, Bahit MC, Hsieh CY et al. Post-Stroke Cardiovascular Complications and Neurogenic Cardiac Injury: JACC State-of-the-Art Review. J Am Coll Cardiol. 2020; 76 (23): 2768-2785.

Wu J, Nizhamuding D, Liu P, Jiang Y, Qiang H, Sun C, et al. QT interval prolongation in patients with acute ischemic stroke: a report in northwest China. J Int Med Res. 2019; 47 (12): 5986-5995.

Ozturk U, Ozturk O. Relation Between Index of Cardioelectrophysiological Balance and Stroke Severity in Patients with Acute Ischemic Stroke. Nigerian Journal of Clinical Practice. 2020; 23 (6): 1-7.

Chávez-González E, Rodríguez-Jiménez AE, Ferrer-Rodríguez CJ, Donoiu I. Ventricular arrhythmias are associated with increased QT interval and QRS dispersion in patients with ST-elevation myocardial infarction. Rev Port Cardiol. 2022; 41 (5): 395-404.

Ibrahim A, Samy W, Khaled M, Samir N. The prognostic value of QT dispersion in patients with acute neurological events without known cardiac disease. Egypt J Crit Care Med. 2016; 4 (3): 1-5.
Share:

Z

Siahaan, W. P., Arina, C. A., & Iqbal, K. M. (2024). Correlation between National Institute Health Stroke Scale and QT Dispersion In Acute Ischemic Stroke. Journal of Society Medicine, 3(1), 24–30. https://doi.org/10.47353/jsocmed.v3i1.120