Abstract:
Worldwide, cerebrovascular disease are a major cause of mortality and morbidity. The cerebral arteries atherosclerotic
disease is the main cause. Haemorrhage, hypoperfusion, and embolism are further reasons. Common accompanying conditions
include ECG abnormalities that mimic myocardial ischemia. Aim –To study the pattern of ECG changes in patients with Acute
ischemic stroke Materials and methods – A descriptive cross-sectional research. There are a total of 60 patients, over 18
years satisfying the criteria for stroke, were involved in the study. Imaging CT/MRI confirmed the diagnosis of stroke. A 12-
lead electrocardiogram was recorded on admission. ECG was evaluated for parameters like Rate, Rhythm, T wave
abnormalities, QTc abnormalities, and ST segment abnormalities. The research was conducted from January 2021 to January
2022.. The results were pooled, and statistical analyses were performed. Results- ECG characteristics such as rate, rhythm,
T wave abnormalities, QTc abnormalities, and ST segment abnormalities were all analysed. The mean age was 60 years. QTc
prolongation was the most frequent ECG alteration found in 30.6% of patients. Additional ECG alterations were T wave
inversion (20.4%), ST depression (17%), Bradycardia (13.6%), and Tachycardia (8.5%); 8.5% had normal ECGs. Conclusion – In
the evaluation of patients of acute ischemic stroke, the study supports the use of ECG. Even in individuals with no history of
coronary artery disease, electrocardiographic alterations are frequently seen in acute ischemic stroke cases, it is crucial to
recognise this, since failing to do so might result in incorrectly classifying these patients as having coronary heart disease
(CAD). The management of patients in terms of revascularization and surgical treatments can be helped by interpreting these
ECG alterations.
