A STUDY OF ELECTROCARDIOGRAPHIC CHANGES IN PATIENTS OF ACUTE CEREBROVASCULAR ACCIDENTS

Dr. Mukesh Kumar Meena; Dr. Bhalachandra S Patwardhan

Volume : IX, Issue : III, March - 2020

A STUDY OF ELECTROCARDIOGRAPHIC CHANGES IN PATIENTS OF ACUTE CEREBROVASCULAR ACCIDENTS

Dr. Mukesh Kumar Meena, Dr. Bhalachandra S Patwardhan

Abstract :

Introduction: Physicians are confronted on having ECG in patients with acute stroke as it can mimic that of myocardial infarction/ischemia. They should be aware of these changes taking place in patients with acute stroke and not due to myocardial infarction/ischemia. The objective of the present study was to study ECG changes in patients with acute stroke. Material and Methods: A hospital based prospective study was carried out for a period of one year at medicine department (SRG Hospital, JMC Jhalawar). A total of 100 patients were included who were eligible for the presents study as per the inclusion and exclusion criteria. Detailed clinical examination, history, lipid profile, cardiac profile, RFT, LFT, Serum electrolytes, Trop. T, blood pressure, addictions, RBS and ECG were done for all selected patients. The data obtained was analysed using appropriate statistical methods. Result: Out of 100 cases, 60 were ischemic and 40 were haemorrhagic. The ECG changes were noted in 78 patients. Among ischemic group, T wave inversion (38.3%), and sinus tachycardia (31.7%) were the most common abnormalities, followed by QTc prolongation and ST depression (30%) and presence of U waves (25%). In case of haemorrhagic group, T wave inversion (32.5%) and U waves (27.5%) were most common followed by ST segment depression and QTc prolongation (25%). The mortality was high in patients with abnormal ECG (15.4%) in contrast to those who had normal ECG (9.09%). Conclusion: ECG changes occur very commonly in acute cereovascular accidents. The major ECG abnormalities were ST–T changes, QTc prolongation and positive U waves. The incidence of mortality is higher in stroke patients with ECG abnormalities.