Background: Disorders of the central nervous system cause a wide array of cardiovascular disorders. Aims: The present study was conducted to study the pattern of electrocardiogram (ECG) changes associated with acute stroke in recovery phase among patients without cardiovascular diseases in a rural population of a developing country. Materials and Methods: The present study was conducted in a tertiary care hospital of eastern India in a time span of 1 year. Study group consisted of hundred postcerebrovascular accident (CVA) patients during recovery stage and age and gender matched hundred subjects with no history of CVA or cardiac dysfunction in present or past were chosen as control. Results: Average heart rate of controls was 76.58 ± 6.31 per min and in stroke it was 69.74 ± 12.03 per min. The P value was significant ( P value was significant (0.02* Conclusion: The major ECG abnormalities are S-T segment depression, prolonged corrected Q-T interval and abnormalities in heart rate and rhythm following CVA and are nearly identical in ischemic and haemorrhagic CVA. The patients of acute CVA in developing countries need to be treated with proper follow-up considering the neurological as well as cardiological complications.