Abstract

The rationale behind studying ECG and echocardiographic manifestations in patients with cerebrovascular accidents (CVAs) lies in the close relationship between the heart and the brain. Both organs are intricately connected through a complex network of neural and vascular pathways, and disturbances in one system can impact the other. Aim: Hence, the present study aimed at to study the echocardiographic (ECHO) and Electrocardiogram (ECG) changes in CVAs and to identify potential sources of embolism and subsequently establish stroke etiology. In addition, to know whether any changes have any prognostic significance and to identify an unsuspected source which can lead to specific cardiac treatment and thus reduce morbidity. Materials & methods: This study was conducted in VIMSAR, Burla from March 2021 to February 2023. This was a hospital based cross- sectional study. 112 patients of acute stroke were considered and ECG and 2D echo of these patients were done within 24 hours of admission. In hospital follow up was done to know the prognosis of all the patients. Results: ECG abnormalities noted among infarct group were presence of U waves, prolonged QTc were most common followed by T wave inversion and ST segment depression. In cases of hemorrhagic stroke, ST depression and U wave were the most common abnormalities. LV dysfunction was the most common 2D echo abnormality in both ischemic and hemorrhagic groups. Conclusion: ST segment depression, QTc prolongation and U waves are the common ECG abnormalities in hemorrhagic stroke. QTc prolongation and U waves are the common ECG findings in ischemic stroke. LV dysfunction is the most common 2D echocardiographic abnormality in stroke patients. ECG abnormality in stroke patients do not have any prognostic significance but LV dysfunction has prognostic significance in predicting mortality in CVA.

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