Abstract
Background : Physician knew for centuries that primary cardiac disorders leads to stroke, but it is recent realization that strokes may produce cardiac abnormalities. It is essential to distinguish whether cardiopulmonary abnormalities are caused by the stroke or unrelated. It is very difficult to distinguish because pre-existing cardiac abnormalities are highly prevalent in stroke. This study is designed to see ECG changes in stroke that can help for further evaluation and management.Methods and Materials: This descriptive Cross-Sectional hospital-based study was conducted to describe the ECG changes, character of ECG abnormalities in patients with stroke. All the patients admitted in the Nobel Medical College in one-year meeting inclusion criteria and residing in Eastern part of Nepal were included. Both Ischaemic and Haemorrhagic stroke were taken. ECG changes includes QTc-prolonged, AF (Atrial Fibrillation), T inversion, QRS prolonged, PR prolonged, ST elevation, ST depression, Hyperacute T wave in different types of stroke was evaluated on the basis of age, sex, smoker, HTN and DM.Result : The total participants were 100. Out of which 65 were male and 35 were female and 72.0% were 60 years and above and 28.0% below 60 years with Mean Age in year ± Standard deviation of male and female was (64.74 ± 12.62) and (63.69 ± 13.53) respectively. Ischemic and Haemorrhagic stroke was 87.0% and 13.0% respectively. ECG changes were found in 84.0%.Conclusion: Ischaemic stroke (87.0%) was more common than Haemorrhagic stroke (13.0%). ECG changes were in 84.0% and QTc-prolonged (29.0%) was the most common followed by AF (27.0%).Journal of Nobel Medical CollegeVolume 6, Number 2, Issue 11 (July-December, 2017) Page: 42-47
Highlights
Physician knew for centuries that primary cardiac disorders leads to stroke, but it is recent realization that strokes may produce cardiac abnormalities
On the basis of Sex, in male, QTcprolonged is found in 17(28.81%) of the patient with Ischaemic stroke and 2(33.34%) patient with Haemorrhagic stroke
QRS prolonged, T inversion, PR prolonged and LVH are found in 6(10.16%), 3(5.08%), 3(5.08%) and 1(1.60%) of the patient with Ischaemic stroke but above ECG changes are found in none of the patient with Haemorrhagic stroke
Summary
If in those cases ECG changes may be mistaken for cardiac cause and patient got thrombolysed may lead to ultimate death of the patient would be the curse to medical science so this study aims to find the different ECG changes in patient with both Ischemic and Haemorrhagic Stroke
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
