Title: Study of ECG Abnormalities in Acute Cerebro Vascular Accidents in a Tertiary Care Hospital of North Andhra Pradesh

Authors: Dr Kovilapu Harikrishna, Dr S. Sreenivas, Dr Dadala Subhash, Dr P.Aneesh

 DOI: https://dx.doi.org/10.18535/jmscr/v8i11.88

Abstract

Background: Cardiac abnormalities were described with various CNS diseases including seizures, trauma, ischemic stroke, ICH and less commonly tumours, electroconvulsive therapy and meningitis.ECG abnormalities are common occurring, in 92 percent of patients with acute stroke.

Materials and Methods: This is an observational cross-sectional study done for eight months in the Department of General Medicine, King George Hospital, Visakhapatnam, from January 2020 to August 2020. A total of 100 patients with a diagnosis of acute cerebrovascular accident were included in this study.

Results: Out of the 100 patients, 54 were ischemic strokes, and 40 are intracerebral haemorrhage and 6 are subarachnoid hemorrhage. 38 out of 54 ischemic strokes showed ECG abnormalities, 34 out of 40 cases of intracerebral haemorrhage showed ECG abnormalities, all 6 cases of SAH showed ECG abnormalities.

Conclusion: ECG changes were more commonly associated with intracerebral haemorrhage compared with cerebral infarction.ST segment changes were the most common abnormality noted in our study. It was most commonly associated with ICH.

Keywords: ECG Abnormalities, Acute Cerebrovascular Accidents, Tertiary Care Hospital.

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Corresponding Author

Dr Kovilapu Harikrishna

Post Graduates, Department of General Medicine