Electrocardiograph changes in acute ischemic cerebral stroke

Kouchaki, E. and Arami, M. and Mazoochi, M. and Alizargar, J. (2012) Electrocardiograph changes in acute ischemic cerebral stroke. Journal of Applied Research, 12 (1). pp. 53-58.

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Introduction: Electrocardiography (ECG) changes are observed in patients with acute stroke and may cause diagnostic and management dilemmas. The aim of this study is to determine the frequency of ECG changes in patients with acute ischemic stroke. Material and Methods: In a case-control hospital-based study 262 patients with cerebral infarction were observed for ECG changes during their hospitalization. The ECG changes were compared with those of the matched control group consisting of 102 individuals. Results: Of the 262 patients of the study group, 112 (42.8) were females and 150 (57.2) were males. The mean age was 67.5 ± 11.9 (range 34-91 years). The control group consisted of 48 (47) females and 54 (53) males. The mean age was 64.5 ± 11.9 (range 31-87 yrs). The frequency of the ECG changes observed in 179 (68.3) of patients with cerebral infarct and 30 (29.4) of the control group (P<0.001). ECG changes observed were mostly, but not at all, related to myocardial ischemia. Inversion of T wave and ST segment changes were the most common findings and observed in 98 (37.4) patients and 16 (15.7) of controls. Conclusions: The observations of this study suggest that electrocardiography abnormalities in patients with acute ischemic stroke are common and cardiac evaluation could have prognostic importance.

Item Type: Article
Additional Information: cited By 0
Uncontrolled Keywords: adult; aged; article; brain infarction; brain ischemia; cardiovascular system examination; comorbidity; controlled study; ECG abnormality; female; heart atrium enlargement; heart atrium fibrillation; heart left bundle branch block; heart left ventricle hypertrophy; heart muscle ischemia; hospital based case control study; hospitalization; human; major clinical study; male; prognosis; Q wave; ST segment depression; ST segment elevation; stroke patient; T wave inversion
Subjects: Medicine
Divisions: Faculty of Medicine > Clinical Sciences > Department of Internal Medicine
Depositing User: editor . 2
Date Deposited: 28 Feb 2017 16:07
Last Modified: 12 Mar 2017 15:04
URI: http://eprints.kaums.ac.ir/id/eprint/773

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