Spectrum of electrocardiographic and echocardiographic changes in acute stroke - Our experience
Journal Title: International Archives of Integrated Medicine - Year 2017, Vol 4, Issue 1
Abstract
Background: Vascular diseases remains the chief cause of death and disability in industrialised countries. Clinical and experimental data suggest that some kind of neurologically mediated myocardial injury exists especially in subarachnoid hemorrhage but not as a manifestation of joint ischemic heart disease. Objectives: To study the spectrum of changes in ECG and echocardiographic patterns in the cases of cerebrovascular disease and to assess these different changes have got any prognostic significance. Materials and methods: 100 patients with acute stroke were considered, and ECG and the 2D echo of these patients were done within 24 hours of admission. In-hospital follow-up was done to know the prognosis of all the patients. Results: ST segment depression (53.1%) and U-waves (56.2%) followed by QTc prolongation (0.5±0.7 ms) were the most common abnormalities in haemorrhage group. Whereas in infarct type of stroke U-wave was the most common ECG finding (50.0%) among infarct group followed by QTc (0.45±0.08 ms) and T-wave inversion (29.4%). None of the ECG changes had much significance on mortality and was statistically insignificant (p>0.05) with either ischemic or hemorrhagic stroke. LV dysfunction, the most common abnormality was (29.4%) in infarct and haemorrhage (46.9%) stroke. LV dysfunction did not show significant impact on mortality in either of stroke subtypes (p>0.05). Conclusion: In our experience, both ECG and ECHO abnormalities in stroke patients do not have any prognostic significance predicting mortality in CVA.
Authors and Affiliations
Niveditha R, Sai Lakshmi V. S. , Rageswari T, Lakshmi Manasa S
Keywords
Related Articles
- EP ID EP408158
- DOI -
- Views 113
- Downloads 0
Graphene Oxide Nano Sheets Increase Brain Damage and Alter Dopamine, Norepinephrine and 5-Hydroxytryptamine Levels in Brain of Albino Mice
Background: Hazards of graphene particles, as novel application in biomedicine and industry of electronics, have attracted extensive attention. Large number of toxicological studies have evaluated the interactions of gr...
TB ascitis in cirrhosis of liver - A case report
To diagnose the cause of ascitis in cirrhosis of liver is difficult clinically as fluid is also present in cirrhosis with portal hypertension. The other diseases causing ascitis can also occur in cirrhosis of liver with...
Comparing microleakage in Silorane based composite and nanofilled composite using different layering techniques in class I restorations: An in vitro study
Background: It won’t be wrong to admit that composite resins are currently the back bone of aesthetic and conservative dentistry. However a major drawback of composite resins is that their setting reaction involves forma...
Hydatid cystic disease at unusual sites
Hydatid disease is a zoonotic infection caused by Echinococcus granulosus, which belongs to phylum Platyhelminthes. It is endemic in many parts of the world including India. Though Hydatid disease commonly occurs in live...
Periodontal disease and salivary pH: Case control study
Background: Saliva is complex fluid maintaining microbiological flora and oral hygiene. It has varying composition and has diagnostic and prognostic value. The present case-control study was aimed at finding the associat...