Volume : VII, Issue : XII, December - 2018
Cardiac Evaluation In Patients With Stroke With Special Reference To Echocardiography : A Tertiary Care Hospital Based Study In Jharkhand.
Dr Manish Kumar, Dr Santosh Kumar
Abstract :
Objectives: To study the different changes in ECG and echocardiographic
patterns in the cases of cereovascular accidents and to assess whether these
different changes have got any prognostic significance in these cases.
Method: 100 patients of acute stroke were considered and ECG and 2D echo of
these patients was done within 24 hours of admission. In hospital follow–up was
done to know the prognosis of all the patients.
Results: ECG abnormalities noted among cereal infarct group were presence of
U–waves (51.47%), prolonged QTc (36.76%) were most common followed by Twave inversion (30.88%), and ST segment depression (30.88%). In cases of
hemorrhagic stroke, ST depression (56.26%) and U–wave (56.26%) were the
most common abnormalities. LV dysfunction was the most common 2D echo
abnormality in both the stroke types – 23.53% and 56.26% i.e., in infarct and
hemorrhage groups respectively. Mortality was high in patients with abnormal ECG (79%) (p>0.5). 79% of patients survived with abnormal ECG. So was statistically insignificant (p>0.5). Mortality was high in patients with abnormal 2D echocardiography (90.91)
Conclusion: ST segment depression, QTc prolongation and U–waves are the common ECG abnormalities in hemorrhagic strokes. QTc prolongation and Uwaves are the common ECG abnormality in ischemic stroke. LV dysfunction is
the most common 2D echocardiographic abnormality in stroke patients. ECG
abnormalities in stroke patients do not have any prognostic significance. LV
dysfunction has prognostic significance in predicting mortality in CVA.
Keywords :
Article:
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DOI : 10.36106/ijsr
Cite This Article:
Cardiac Evaluation In Patients With Stroke With Special Reference To Echocardiography : A Tertiary Care Hospital Based Study In Jharkhand. , Dr Manish Kumar, Dr Santosh Kumar , INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-7|Issue-12| December-2018
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References :
Cardiac Evaluation In Patients With Stroke With Special Reference To Echocardiography : A Tertiary Care Hospital Based Study In Jharkhand. , Dr Manish Kumar, Dr Santosh Kumar , INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-7|Issue-12| December-2018
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