醫學筆記匯整 ED Notes

IICP is associated with certain characteristic ECG changes :

• Widespread giant T inversions = Cerebral T waves
• QT prolongation
• Bradycardia (Cushing reflex – indicates imminent brainstem herniation

- Massive ICH
- Severe IICP
- Grave prognosis 
 

CNS catastrophe, especially hemorrhagic stroke
They are unusual in a small ischemic stroke.

spiked helmet sign
 

Other possible ECG changes that may be seen :

• STE / STD - may mimic myocardial ischaemia or pericarditis.
• Increased U wave amplitude.
• Other rhythm disturbances :
  sinus tachycardia, junctional rhythms, PVC, Af

http://hqmeded-ecg.blogspot.tw/2015/09/central-nervous-system-t-waves.html