Original Research Article
Year: 2017 | Month: August | Volume: 4 | Issue: 8 | Pages: 53-58
Electrocardiographic Changes in Acute Cerebrovascular Accidents: An Observational Study
Shyam Murari Garg1, Nitish Thakur2, P. K. Prasher3, Tejinder Talwar1, Richa Goel4, Himanshu Devender Kumar5, Shivani Saini2
1Associate Professor, 3Professor, 4Senior Resident, 5Junior Resident,
Department of Medicine, Maharishi Markandeshwar Institute of Medical Sciences and Research, Mullana, Haryana, India 133207
2Senior Resident, Department of Medicine, MM Medical College & Hospital, Kumarhatti-Solan, Himachal Pradesh, India
Corresponding Author: Richa Goel
ABSTRACT
Objectives: To study the occurrence and pattern of electrocardiographic changes in patients with acute cerebrovascular accidents.
Material and Methods: 50 patients selected using purposive sampling technique admitted in the Department of Medicine, Maharishi Markandeshwar Institute of Medical Sciences And Research, Mullana, Ambala. Patients were divided into 2 groups of cerebral thrombosis and cerebral hemorrhage according to the type of acute intracranial lesions based on CT scan findings and other relevant investigations. Patients with evidence of heart disease, electrolyte imbalance and previous episode of cerebrovascular diseases or intracranial space-occupying lesions were excluded. The collected data were analyzed using appropriate statistical test between the variables.
Results: Out of the 50 patients in this study, 76% had ECG changes. The most common changes noted were QTc (corrected QT) prolongation followed by that of T wave changes and ST segment changes. Disorders of rate and rhythm were also found to be common in these patients. The ECG changes were common in patients with cerebral hemorrhage (81.8%) than in those with cerebral infarction (78.5%). Reversal to normal was noted in 38.53% of the cases in whom a 2nd ECG was done. The reversal of prolonged QTc interval to normalcy was statistically significant.
Conclusion: ECG changes are common in cerebrovascular diseases and intracranial space occupying lesions. The changes were more common in cerebral hemorrhage among the cerebrovascular events.
Key words: Cardiac, cerebrovascular attack, electrocardiography
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