Cardiac evaluation in patients with stroke with special reference to echocardiography

 

Amit Das^1*, Dinesh Prasad Gupta²

 

Abstract              Background: A stroke is a medical condition in which poor blood flow to the brain results in cell death. There are two main types of stroke: ischemic, due to lack of blood flow, and hemorrhagic, due to bleeding. Both result in parts of the brain not functioning properly. Methods: It was hospital based prospective study. Those patients who were attending in O.P.D. and IPD of Patna Medical College and Hospital, Bihar. To know the ECG and echocardiography changes in stroke and whether they had any prognostic significance in stroke patients. 100 of stroke patients admitted to ICU and Medicine wards in our Hospital, during the period between November 2018 to November 2019. Results: hypertension was present in majority of the cases i.e, 45%, which is comparable with that found in the studies of Smith⁴⁸ (2005) and Carlos⁴⁶ (2003) i.e., 87% and 48% respectively and next commonest risk factor was smoking (28%) and history of stroke (8%), which are comparable with that found in Smith (2005) i.e., 35.22% and diabetes mellitus was present in 13% of the patients in the present study and the least was hyperlipidemia. Conclusion: ST segment depression, QTc prolongation and U are the common ECG abnormalities in hemorrhagic strokes. QTc prolongation and U-waves are the common ECG abnormality in ischemic stroke. LV dysfunction is the most common echocardiographic abnormality in stroke patients