Study of ECG Changes in Acute Cerebrovascular Accidents at a Tertiary Care Teaching Hospital
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 1
Abstract
Background: Electrical stimulation experiments suggest a posteriorly located area of cardiovascular sympathetic control and anterior parasympathetic control region. ECG abnormalities occurred in 60-90% of patients with intra-parenchymal or subarachnoid bleed and in about 5-20% of patients with acute ischaemic stroke. The aim of this study to evaluated the incidence and pattern of ECG changes in patients with cerebrovascular accidents. Material & Methods: The present observational, non-interventional, retrospective study done on 50 patients was conducted at Department of General Medicine, KPC Medical College & Hospital, Jadavpur, West Bengal (India). All patients with acute cerebrovascular accidents were studied. They were evaluated with X-ray, serum electrolyte, and sugar and blood urea. 12 lead ECG was taken and monitored on the day of admission. CT scan was taken within 24-48 hrs. Results: In our study showed that the majority of cases (84%) were seen in 51-70 years of age groups. Out of 22, 12 (57%) of patients with hemorrhages, 9 (34%) of patients with infarct had changes and 1 (33.33%) patient with SAH had changes. ST segment changes were most commonly noted after cerebral hemorrhage. 31% of patients with infarction had ST depression. ST elevation was found in 33.33% of patients with ICH. T wave changes were present in 52.38% of patients with ICH. 27% of patient with infarct had T wave changes. Conclusion: We concluded that understanding that these ECG changes which are occurring in patients with CVA is important because it may lead to erroneous judgment of assigning these patients as CAD. These patients should be evaluated for cardiac injury and treated only if necessary.
Authors and Affiliations
Reshma Dutt (Saha), Santanu Bhakta
Keywords
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- EP ID EP530129
- DOI 10.21276/ijmrp.2018.4.1.069
- Views 109
- Downloads 0
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