ECG changes in patients of acute cerebrovascular diseases
Journal Title: MedPulse -International Medical Journal - Year 2015, Vol 2, Issue 4
Abstract
Introduction: Numerous studies have demonstrated the fact that primary neurologic abnormalities may produce ECG changes without any myocardial lesion. ECG changes affecting T wave, U wave, S-T segment, Q-T interval and arrhythmias have been reported. These changes may resemble those of myocardial ischemia and acute myocardial infarction, leading to misinterpretation and delay in operative management of sub-arachanoid haemorrhage. Aims and Objectives: to study the various ECG changes in patients of cerebrovascular diseases. Material and Method: In the present study we tried to study the electrocardiography findings in acute cerebrovascular diseases. For this purpose we selected 55 cases of acute cerebrovascular diseases. A 12 Lead Electrocardiogram was taken for all the cases within 24 hours of admission. A detailed analysis and interpretation of ECG changes like sinus arrhythmia, sinus bradycardia, sinus tachycardia, abnormal Q wave, U wave, T wave, right and left ventricular hypertrophy, S-T segment elevation/ depression, T wave inversion and prolongation of Q-T interval was done. Results: Out of total 55 cases of cerebrovascular diseases majority were more than 60 years of age with M: F ratio of 1.89:1. In 65.45% patients, ischemic stroke was diagnosed followed by intra- cerebral hemorrhage (27.27%) and sub arachnoid hemorrhage (7.27%) was observed. The most common ECG change observed in the present study was abnormal T wave (40%), prolong QTc (27.27%) and interval arrhythmia (21.82%). The most common abnormal ECG pattern in ischemic stroke was Abnormal T wave (33.33%) followed by prolong QTc interval (38.89%) and arrhythmia (22.22%). In sub arachnoid hemorrhage patients prolong QTc interval and pathologic Q wave was observed in 50% cases each whereas ST Segment elevation and abnormal T wave was observed in 25% cases each. It was seen that in abnormal T wave (40%) was the most common abnormal ECG pattern in intracerebral hemorrhage patients. It was followed by prolong QTc interval (27.27%) and arrhythmia (21.82%). Conclusion: Thus we conclude that abnormal T wave, prolong QTc interval and arrhythmia were the common ECH+G findings in patients of cerebrovascular accident.
Authors and Affiliations
Kamal Kumar Jain, Yogesh Garg
Keywords
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