ECG Changes During Cerebral Angiography. An Analysis of 334 Patients--942 Cerebral Angiographies

Overview

Journal Neuroradiology

Specialties Neurology
Radiology

Date 1984 Jan 1

PMID 6544378

Authors

K Hayakawa

Y Nishimura

M Yoshida

K Itoh

N Hayashi

J Aoki

K Nakamura

M Imai

T Ono

S Morikawa

Affiliations

Soon will be listed here.

Abstract

We have analyzed HR changes greater than 20% among 334 patients and 942 cerebral angiographies. A tachycardial effect was seen in 14.9% of patients, while a bradycardial effect was seen in 7.1% including two patients having cardiac standstill (0.5%). These two patients were examined without atropine premedication after subarachnoid hemorrhage. Patients under 19 years of age, unpremedicated with atropine sulfate and suffering from subarachnoid hemorrhage secondary to ruptured aneurysm or arteriovenous malformation showed a significantly high incidence of bradycardia. On the other hand, patients with the neoplastic disease and having an initial sinus bradycardia showed a significantly high incidence of a tachycardial effect.

References

Lundervold A, Engeset A . Polygraphic recordings during cerebral angiography. Acta Radiol Diagn (Stockh). 1966; 5:368-80. DOI: 10.1177/02841851660050p141. View

Silverstein A . Arteriography of stroke. 3. Complications. Arch Neurol. 1966; 15(2):206-10 contd. DOI: 10.1001/archneur.1966.00470140096013. View

LODIN H . Electrocardiograms on vertebral angiography. Acta Radiol Diagn (Stockh). 1968; 7(2):117-23. DOI: 10.1177/028418516800700203. View

Greitz T, Weiss S . EEG and ECG in cerebral angiography with sodium diatrizoate (hypaque) and methylglucamine diprotrizoate (miokon). Acta Radiol (Stockh). 1959; 52:145-8. DOI: 10.3109/00016925909171140. View

SKALPE I, Lundervold A, Tjorstad K . Cerebral angiography with non-ionic (metrizamide) and ionic (meglumine metrizoate) watersoluble contrast media. A comparative study with double blind technic. Neuroradiology. 1977; 14(1):15-9. DOI: 10.1007/BF00399882. View

LODIN H, Ottander H . Electrocardiograms in carotid angiography with Urografin. Acta Radiol Diagn (Stockh). 1967; 6(6):519-23. DOI: 10.1177/028418516700600603. View

Feild J, Lee L, McBurney R . Complications of 1000 brachial arteriograms. J Neurosurg. 1972; 36(3):324-32. DOI: 10.3171/jns.1972.36.3.0324. View

Feild J, Robertson J, DeSAUSSURE Jr R . Complications of cerebral angiography in 2,000 consecutive cases. J Neurosurg. 1962; 19:775-81. DOI: 10.3171/jns.1962.19.9.0775. View

PATTERSON Jr R, GOODELL H, DUNNING H . COMPLICATIONS OF CAROTID ARTERIOGRAPHY. Arch Neurol. 1964; 10:513-20. DOI: 10.1001/archneur.1964.00460170083012. View

10.

Mani R, Eisenberg R . Complications of catheter cerebral arteriography: analysis of 5,000 procedures. II. Relation of complication rates to clinical and arteriographic diagnoses. AJR Am J Roentgenol. 1978; 131(5):867-9. DOI: 10.2214/ajr.131.5.867. View

11.

Takahashi M, Kawanami H . Complications of catheter cerebral angiography. An analysis of 500 examinations. Acta Radiol Diagn (Stockh). 1972; 13(1):248-58. DOI: 10.1177/02841851720130p132. View

12.

Nakstad P, Sortland O, Aaserud O . Iohexol compared to meglumine-Ca-metrizoate in common carotid angiography. A randomized double blind cross-over study in man. Neuroradiology. 1983; 25(1):33-6. DOI: 10.1007/BF00327477. View

13.

Fischer H, Eckstein J, Perret G . Comparison of the cardiovascular effects of contrast media in cerebral angiography in man. J Neurosurg. 1962; 19:943-6. DOI: 10.3171/jns.1962.19.11.0943. View

14.

Perret G, Nishioka H . Report on the cooperative study of intracranial aneurysms and subarachnoid hemorrhage. IV. Cerebral angiography. An analysis of the diagnostic value and complications of carotid and vertebral angiography in 5,484 patients. J Neurosurg. 1966; 25(1):98-114. DOI: 10.3171/jns.1966.25.1.0098. View

15.

FOLTZ E, THOMAS L, WARD Jr A . The effects of intracarotid diodrast. J Neurosurg. 1952; 9(1):68-82. DOI: 10.3171/jns.1952.9.1.0068. View

16.

TORNELL G . Bradycardial reactions in cerebral angiography induced by sodium and methylglucamine iothalamate (Conray). Comparison with urografin in a controlled study in man. Acta Radiol Diagn (Stockh). 1968; 7(6):489-501. DOI: 10.1177/028418516800700604. View

17.

Fischer H, Eckstein J . Comparison of cerebral angiographic contrast media by their circulatory effects; an experimental study. Am J Roentgenol Radium Ther Nucl Med. 1961; 86:166-77. View

18.

TORNELL G . Heart rate reactions during cerebral angiography. The value of ECG recordings. Acta Radiol Diagn (Stockh). 1972; 13(1):259-67. DOI: 10.1177/02841851720130p133. View

19.

Nakstad P, Sortland O, Aaserud O, Lundervold A . Cerebral angiography with the non-ionic water-soluble contrast medium iohexol and meglumine-Ca-metrizoate. A randomized double blind parallel study in man. Neuroradiology. 1982; 23(4):199-202. DOI: 10.1007/BF00342540. View

20.

Lindgren P, TORNELL G . Blood pressure and heart rate responses in carotid angiography with sodium acetrizoate (triurol): an experimental study in cats. Acta Radiol (Stockh). 1958; 50(1-2):160-74. DOI: 10.3109/00016925809171080. View