ECG changes in patients of stroke- what are they, and what is their significance

Abstract

Background- Physicians have known for centuries that primary cardiac disorders can lead to stroke, but the realization that strokes may produce cardiac abnormalities is much more recent. Aims and objectives- to study the various electrocardiographic changes during stroke and their correlation with outcome. Material and methods- The present study was conducted, in Jayarogya group of hospitals, GRMC Gwalior M.P. A total of 306 patients of cerebrovascular stroke who have ECG changes in first 24 hours were studied from November 2013 to October 2014, in Department of neurology, Jayarogya group of hospitals, GRMC Gwalior M.P, the ECG interpretation was done by Assistant professor cardiology and results are as follows. Results – Males are more affected by stroke than females. (65.2% V/s 34.8%), Age when first ever stroke occurred in females is higher than males. (>70 years V/s >50). The incidence of ischemic stroke is 74.8% while death is 12.76% in this group of stroke while the death rate is higher in hemorrhagic stroke (42.06%) irrespective of its lower incidence (25.2%) in comparison to ischemic stroke. In our study myocardial ischmic changes like ST segment depression and T-wave inversion, LVH, LBBB were significantly associated with the mortality. So these parameters can be use for poor prognostic factor in patients of Strokes. Conclusion- In our study myocardial ischmic changes like ST segment depression and T-wave inversion, LVH, LBBB were significantly associated with the mortality. So these parameters can be use for poor prognostic factor in patients of Strokes.