Study of Echocardiographic and ECG Abnormalities in Stroke Patients and Their Prognostic Significance
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 2
Abstract
Objective: To study the changes in the echocardiography and ECG of patients with stroke along with prognostic significance of these changes. Methods: A retrospective cross-sectional study evaluating 100 stroke patients. The study population was divided into two groups- ischemic and hemorrhagic stroke on the basis of CT brain findings. ECG and transthoracic echocardiography was done within 72 hours of onset of symptoms. Prognosis was decided on the basis of mortality within five days after onset of stroke. Results: In our study 66% patients have echocardiographic abnormalities and 73% have ECG abnormalities. Echocardiographic abnormalities were more common in patients with hemorrhagic stroke (76.66%) as compared to ischemic stroke (61.42%). ECG abnormalities were also more common in hemorrhagic stroke (83.33%) as compared to ischemic stroke (68.58%). Most common echocardiographic abnormality in ischemic and hemorrhagic stroke was LVH and diastolic dysfunction respectively. QTc prolongation was most common ECG abnormality seen in ischemic and hemorrhagic stroke. 11 patients of ischemic stroke and 13 patients of hemorrhagic stroke expired within five days of stroke onset. In ischemic stroke, there was significantly higher mortality among those with LV systolic dysfunction (p=0.006) and spontaneous echo contrast (p=0.013) on echocardiography, and with atrial fibrillation (p=0.0001) on ECG. Conclusion: LV systolic dysfunction, spontaneous echo contrast and atrial fibrillation have prognostic significance in predicting the mortality in ischemic stroke. Echocardiographic and ECG abnormalities in hemorrhagic stroke do not have any prognostic significance.
Authors and Affiliations
Girish Chandra Verma, Anil Kumar, Abdul Wahid, C. P. Meena, Durbadal Mohanta, A. R. Pathan
Keywords
Related Articles
- EP ID EP543679
- DOI 10.21276/ijmrp.2017.3.2.012
- Views 77
- Downloads 0
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