A clinical study of acute ischemic stroke with special emphasis on cardiovascular manifestations, and their variations in presentation pattern among either sex
Journal Title: Medpulse International Journal of Medicine - Year 2019, Vol 9, Issue 2
Abstract
Background: Stroke is defined as a rapidly developing symptoms and/or signs with global loss of brain function, lasting for more than 24 hours, or leading to death, with no apparent cause other than vascular origin. A significant number of stroke patients have co-existent cardiac abnormalities. Hence this study was done to determine the cardiac abnormalities in patients of acute ischemic stroke, which would help in early recognition and treatment of the same. Methods: The present study was conducted in the ‘Department of Cardiology’, Southern Railway Headquarters Hospital, Chennai, on 50 patients diagnosed to have acute ischemic stroke during the period of January 2017 to June 2017. Data was collected by relevant history, clinical examination & investigations. Results: The mean age of the patients was 58, with the majority in the age group 51-70 years, with a male–female ratio of 7:3. Chest pain (12%), palpitations (2%), orthopnoea (6%) were the main presenting cardiac symptoms. ECG abnormalities noted were T-wave inversion in 38%, ST segment depression/elevation in 20%, QTc prolongation in 8%, AF in 6%. Left ventricular dysfunction was the most common 2D echo abnormality in 68%. CPKMB was abnormal in 56% and Troponin-T in 14% of the patients in this study. Conclusion: A total of 50 subjects were studied for cardiac abnormalities by means of history, risk factors, ECG, 2D Echo and cardiac biomarkers. Hypertension, DM and smoking were the most common risk factors with varied findings in ECG and 2D Echo; from T-wave inversion to ST segment elevation and diastolic dysfunction to global hypokinesia, suggesting the presence of underlying cardiac complications in patients of acute ischemic stroke, who do not have known cardiac disease/symptoms.
Authors and Affiliations
Imran-ul- Haq
Keywords
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- EP ID EP463667
- DOI 10.26611/1021929
- Views 55
- Downloads 0
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