ECG changes in patients of acute cerebrovascular diseases
Journal Title: MedPulse -International Medical Journal - Year 2015, Vol 2, Issue 4
Abstract
Introduction: Numerous studies have demonstrated the fact that primary neurologic abnormalities may produce ECG changes without any myocardial lesion. ECG changes affecting T wave, U wave, S-T segment, Q-T interval and arrhythmias have been reported. These changes may resemble those of myocardial ischemia and acute myocardial infarction, leading to misinterpretation and delay in operative management of sub-arachanoid haemorrhage. Aims and Objectives: to study the various ECG changes in patients of cerebrovascular diseases. Material and Method: In the present study we tried to study the electrocardiography findings in acute cerebrovascular diseases. For this purpose we selected 55 cases of acute cerebrovascular diseases. A 12 Lead Electrocardiogram was taken for all the cases within 24 hours of admission. A detailed analysis and interpretation of ECG changes like sinus arrhythmia, sinus bradycardia, sinus tachycardia, abnormal Q wave, U wave, T wave, right and left ventricular hypertrophy, S-T segment elevation/ depression, T wave inversion and prolongation of Q-T interval was done. Results: Out of total 55 cases of cerebrovascular diseases majority were more than 60 years of age with M: F ratio of 1.89:1. In 65.45% patients, ischemic stroke was diagnosed followed by intra- cerebral hemorrhage (27.27%) and sub arachnoid hemorrhage (7.27%) was observed. The most common ECG change observed in the present study was abnormal T wave (40%), prolong QTc (27.27%) and interval arrhythmia (21.82%). The most common abnormal ECG pattern in ischemic stroke was Abnormal T wave (33.33%) followed by prolong QTc interval (38.89%) and arrhythmia (22.22%). In sub arachnoid hemorrhage patients prolong QTc interval and pathologic Q wave was observed in 50% cases each whereas ST Segment elevation and abnormal T wave was observed in 25% cases each. It was seen that in abnormal T wave (40%) was the most common abnormal ECG pattern in intracerebral hemorrhage patients. It was followed by prolong QTc interval (27.27%) and arrhythmia (21.82%). Conclusion: Thus we conclude that abnormal T wave, prolong QTc interval and arrhythmia were the common ECH+G findings in patients of cerebrovascular accident.
Authors and Affiliations
Kamal Kumar Jain, Yogesh Garg
Keywords
Related Articles
- EP ID EP191910
- DOI -
- Views 115
- Downloads 0
Study of coagulation profile in pre-eclampsia and eclampsia
Coagulation profile was studied in 120 patients with Pregnancy induced hypertension. These patients were categorized as mild, severe preeclampsia and eclampsia. Coagulation parameters such as PT, a PTT, BT, CT, FDPs and...
A study of prevalence and associated factors of hypertension in community
Background: One in three adults is having raised blood pressure worldwide, condition that responsible for around half of all deaths from stroke and heart disease and it’s a growing public health problem. Aims and Objecti...
Thyroid disorders – A random analysis of dysfunction and associations
The problem of thyroid dysfunction is known since 19th century. Long back the only assessment tool for thyroid function was clinical diagnosis, Basal Metabolic Rate, protein bound iodine assay and now the dramatic advant...
Comparison of two different doses of dexmeditomidine to prevent tourniquet pain during intravenous regional anaesthesia with lidocaine
Background and Objectives: Intravenous regional anaesthesia (IVRA) has been used for more than a century. Dexmeditomidine has found to prolong the action of the action of local anaesthetics through a peripheral mechanism...
Comparison of efficacy of fluticasone propionate and mometasone furoate in the treatment of allergic rhinitis
Objectives: To compare the efficacy of Fluticasone Propionate and Mometasone furoate in Allergic rhinitis and Based on the results to appraise possible better outcomes in the treatment of Allergic Rhinitis.