Electrocardiographic changes in acute stroke patients
Journal Title: INTERNATIONAL JOURNAL OF CURRENT RESEARCH IN MEDICAL SCIENCES - Year 2018, Vol 4, Issue 2
Abstract
Background: Cerebrovascular events are a major cause of morbidity and mortality worldwide. The primary reason is atherosclerotic disease of the cerebral arteries. Other causes are embolism, hemorrhage and hypo perfusion. ECG changes simulating myocardial ischemia are common accompaniments. The aim of this study was to document and delineate the various ECG changes in stroke patients. Methods: Eighty consecutive patients fulfilling the clinical definition of stroke were included in the study. The diagnosis of stroke was confirmed by Imaging –CT/MRI. A 12 lead ECG recording was done at time of admission and then on subsequent days during stay in the hospital. Results were compiled and statistical analysis was done. Results: Majority of cases were having ischemic stroke. Mean age of presentation was 63 years. No ECG abnormalities were found in 11.25 % cases. The most common ECG change observed was T wave inversion seen in 32.5 % cases. QTc prolongation was the most common ECG change in intracerebral hemorrhage cases. Other ECG changes were ST depression in 25 %, bradycardia in 12.5%, tachycardia in 5%, atrial fibrillation in 3.75% and U waves in 7.5% cases. Conclusion: This study confirms the role of ECG in workup of acute stroke patients. Electrocardiographic changes are very common in cases of CVA, even in those having no history of coronary heart disease. Interpretation of these ECG changes can aid the treatment of patients with respect of revascularization and surgical interventions.
Authors and Affiliations
Gurpal Singh Sachdeva1 , Ashish Bhagat2 , Karanpartap Singh3 Lajinder Verma4 , N. S. Neki 5
Keywords
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- EP ID EP551328
- DOI 10.22192/ijcrms.2018.04.02.007
- Views 153
- Downloads 0
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