Cardiac evaluation of stroke in young patients

 

P C Sree Ranga¹, Jagadish H R^2*, P G Girish³

 

¹Assistant Professor, ²Associate Professor, ³Professor and HOD, Department of Cardiology, PMSSY, Bangalore Medical College and Research Institute, Bengaluru, Karnataka, INDIA.

Email: drrangacardio@gmail.com

 

Abstract              Objectives: To evaluate cardiac cause of stroke in young patients.it not only helps in identifying cardio embolic pathophysiology for ischemic symptoms but also identify concomitant coronary artery disease. Materials and Methods: 32 patients in the age group of 18-45 years with documented ischemic stroke were included in the study for various relevant investigation. Results: electrocardiogram was abnormal in 5(15.6%)..Holter helped in identifying abnormal rhythm in 2(6.2%) out of which one patient had atrial fibrillation .Trans esophageal echocardiogram revealed spontaneous echo contrast in 2(6.2%)patient. Conclusion: In our series of cardiac evaluation of stroke in young the risk factor profile revealed significant importance for evaluation of cardiac disease which was seen in <10% of study population.

Keywords: Cardiac evaluation, stroke.