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MedPulse - International Medical Journal, ISSN 2348-2516 E-ISSN: 2348-1897

Volume 1, Issue 8, June 2014 pp 354-356

Research Article

Incidence and pattern of E C G abnormalities in patients with cerebrovascular accidents

S Suresh Saravanakumar¹, Buvana Balamugundan²

¹Associate Professor, Department of General Medicine, Aarupadai Veedu Medical College & Hospital, Puducherry -607402 INDIA.

²Assistant Professor, Sree Lakshmi Narayana Institute of Medical Sciences & Hospital, Osudu, Kudupakkam, Puducherry – 605502 INDIA.

Academic Editor : Dr. Bhanap P. L.

Introduction: Acute cerebrovascular accidents (C.V.A.) are quite often accompanied with characteristic electrocardiographic (E.C.G.) abnormalities. The findings may be summarised as: Prolong­ation of the Q-Tc interval and a large and wide T or T-U wave of the same general configuration as in myocardial ischaemia. Aims and objectives: To determine the incidence and pattern of E.C.G abnormalities in patients with Cerebrovascular accidents. Material and method: All he patients with cebrovascular accidents were included in the study. The study population consisted of 22 cases of cerebral infraction, 22 cases of cerebral haemorrhage and 14 cases of subarachnoid haemorrhage. A 12 lead ECG was taken on the day of admission in all patients and the finding were noted. Results: 77.59% patients showed abnormal ECG in the study. It was observed that 20.68% of the study patients demonstrated ST segment changes. Patients with cerebral hemorrhage showed the highest percentages of T wave changes. Q-Tc prolongation was seen in 39.66% of the study patients. Only 4.55% of patients with cerebral infarction and 9.09% with cerebral hemorrhage had pathological Q waves in E.C.G. 31.82% of patients with cerebral hemorrhage demonstrated rhythm disturbances. Conclusion: Incidence of abnormal ECG pattern in patients with cerebrovascular accidents was 77.59%. E.C.G. abnormalities were most commonly seen in subarachnoid (93%) and intracerebral haemorrhage (91%). The changes were less often seen in cerebral infarction (55%). ST segment and T wave changes were most commonly found in patients