Study of Incidence and Pattern of ECG Changes in Cerebrovascular Accidents
Journal Title: ​International Journal of Contemporary Medicine surgery and Radiology - Year 2018, Vol 3, Issue 1
Abstract
Introduction: The anatomy and physiology of pathways involved in brain-heart interaction have been elucidated in both animal and human studies. The ability to reproduce the arrhythmia by activation of the sympathetic nervous system suggested a neurogenic mechanism. Areas of cerebral cortex with connection to autonomic nervous system can also elicit cardiac response. Study aimed to record the incidence and pattern of ECG changes in patient with cerebrovascular diseases. Material and Methods: The present observation study conducted on 50 patients. The patients were categorized into 3 different types based on the findings of brain CT scan. ECG was recorded for all the patients and analysed for finding the abnormalities. Results: 78% of all stroke patients had some form of ECG abnormalities. 70% of patients with cerebral infarction, 89% of patients with cerebral hemorrhages (CH), 100% of patients with subarachnoid hemorrhages (SAH) had changes in ECG. ST segment changes were most commonly noted after cerebral hemorrhage. Conclusion: The changes found in ECG of cardiovascular disease patients were not associated with any particular site of cerebral lesion. Cardiac disturbances are diverse and frequent in the setting of acute neurological injury.
Authors and Affiliations
Vinod Kumar Kandala, Jagadeesh Kumar Vadaparthi
Keywords
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