Abstract
BACKGROUND: Stroke is the major cause of mortality and morbidity worldwide. In cerebrovascular accidents ischemic strokes are more common than hemorrhagic strokes. Electrocardiographic (ECG) changes are common in acute ischemic strokes. These ECG changes mimics myocardial ischemia. The main aim of this study is to study electrocardiographic changes that occur in acute ischemic stroke. METHODS: Seventy patients with acute ischemic stroke were included in the study. For all patients CT/MRI brain was done to confirm the diagnosis. A 12 lead ECG was taken for all patients at the time of admission. RESULTS: Out of seventy patients 44 patients were males (62.9%) and 26 (37.1%) patients were females. The mean age in our study was 60.35±10.21 years. 91.42% of patients have ECG changes and 8.57% have normal ECG. The most common ECG change observed is T wave inversion (38.57%) followed by ST segment changes (25.71%). some patients have more than one ECG change. CONCLUSION: This study shows the importance of ECG in the workup of acute ischemic stroke. ECG changes are common during acute stroke even in the absence of underlying cardiac pathology. so, clinicians should be aware of these changes while treating the patients. These ECG changes have some prognostic importance
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