Incidence and pattern of E C G abnormalities in patients with cerebrovascular accidents
Journal Title: MedPulse -International Medical Journal - Year 2014, Vol 1, Issue 8
Abstract
Introduction: Acute cerebrovascular accidents (C.V.A.) are quite often accompanied with characteristic electrocardiographic (E.C.G.) abnormalities. The findings may be summarised as: Prolong¬ation of the Q-Tc interval and a large and wide T or T-U wave of the same general configuration as in myocardial ischaemia. Aims and objectives: To determine the incidence and pattern of E.C.G abnormalities in patients with Cerebrovascular accidents. Material and method: All he patients with cebrovascular accidents were included in the study. The study population consisted of 22 cases of cerebral infraction, 22 cases of cerebral haemorrhage and 14 cases of subarachnoid haemorrhage. A 12 lead ECG was taken on the day of admission in all patients and the finding were noted. Results: 77.59% patients showed abnormal ECG in the study. It was observed that 20.68% of the study patients demonstrated ST segment changes. Patients with cerebral hemorrhage showed the highest percentages of T wave changes. Q-Tc prolongation was seen in 39.66% of the study patients. Only 4.55% of patients with cerebral infarction and 9.09% with cerebral hemorrhage had pathological Q waves in E.C.G. 31.82% of patients with cerebral hemorrhage demonstrated rhythm disturbances. Conclusion: Incidence of abnormal ECG pattern in patients with cerebrovascular accidents was 77.59%. E.C.G. abnormalities were most commonly seen in subarachnoid (93%) and intracerebral haemorrhage (91%). The changes were less often seen in cerebral infarction (55%). ST segment and T wave changes were most commonly found in patients
Authors and Affiliations
S Suresh Saravanakumar, Buvana Balamugundan
Keywords
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