Volume : VIII, Issue : II, February - 2019
A Study of Prognosis of stroke with special reference to electrocardiographic changes and 2D-echo.
Dr. Kiran Yadav, Dr. Anurag Chaurasia, Dr. Hariom Gupta
Abstract :
Introduction: Stroke is the second most common cause of death and major cause of disability worldwide. Approximately 20 million people each year suffer from stroke of which 5 million do not survive. Cereal infarction is responsible for about 80% of all first ever in a lifetime strokes. There are many risk factors for cereovascular accidents like hypertension, diabetes, aneurysm & coagulopathy . This study was undertaken to determine ECG changes in stroke with diabetic and its prognostic significance.
Aims & Objectives: The present study aims to determine the 2D ECHO and ST–T changes among stroke patients and its implication in assessing prognosis.
Material and Methods:
The present study was carried out in100 patients admitted in department of medicine, S.S. medical college and associated S.G.M.H hospital, Rewa (M.P.) from july 2014 to Jun. 2015.
Inclusion Criteria: The stroke patients of both sexes aged >16 years admitted to SGMH, Rewa. Neurodeficit lasting >24 hours.
Detailed neurological examination including fundoscopy and cardiovascular examination was carried out in all the cases.
A 12 lead ECG was done within 24 hours of admission.
Result: Stroke was most common in 5th and 6th decade (55%). Males had higher preponderance among stroke patients (Male–female ratio 1.5:1). Hypertension was the most common risk factor in 45% of patients. In infarct the most common presenting complaints were headache(25%), Vomiting(19.11%) & Convulsion(8.82%). Such complaints were significantly higher in hemorrhage Headache(65.62%), vomiting(78.12%) & convulsion(12.50%). Abnormal ECG changes were more common among hemorrhagic patients (78.12%) compared to infarct patients (67.64%). LV dysfunction was the most common abnormality noted in both groups i.e., infarct (23.53%) and hemorrhage (56.26%).
Conclusion: ST segment depression in infarct(30%),hemorrhage(53.33%), QTc prolongation infarct(35.71),hemorrhage(46.66%) and prominent U wave infarct(50%),hemorrhage(53.33%) are the common ECG abnormalities in strokes. ECG abnormalities in stroke patients do not have any prognostic significance. 2D echo abnormalities were more common among hemorrhage group (75%) than in infarct (44.12%). LV dysfunction showed significant mortality in stroke patients and was statistically significant (p<0.001).
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DOI : 10.36106/ijsr
Cite This Article:
A STUDY OF PROGNOSIS OF STROKE WITH SPECIAL REFERENCE TO ELECTROCARDIOGRAPHIC CHANGES AND 2D-ECHO., Dr. Kiran Yadav, Dr.Anurag Chaurasia, Dr.Hariom Gupta INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-8 | Issue-2 | February-2019
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A STUDY OF PROGNOSIS OF STROKE WITH SPECIAL REFERENCE TO ELECTROCARDIOGRAPHIC CHANGES AND 2D-ECHO., Dr. Kiran Yadav, Dr.Anurag Chaurasia, Dr.Hariom Gupta INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-8 | Issue-2 | February-2019
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