Evaluation of Cardiac Status in Cerebrovascular Accidents

EVALUATION OF CARDIAC STATUS IN CEREBROVASCULAR ACCIDENTS Authors: PAWAN MEHTA, SWAPNIL MUJAWDIYA, T. N DUBEY INTRODUCTION: Cerebrovascular accident (CVA) or stroke is the most common life threatening disorder. It is the third leading cause of death in the developed countries after cardiovascular disease and cancer.1 Electrocardiographic (ECG) and changes can occur in cardiac as well as extracardiac conditions. Abnormalities of ECG are extremely useful in recognition of heart disease, but can occur in a variety of other conditions that are extracardiac. Among these neurologic disease is of special interest. In present study an attempt has been made to identify the electrocardiographic changes produced primarily due to cerebrovascular accidents and its correlation with echocardiography and cardiac enzyme CPK MB. METHODS: This was an observational study done at G. M. C Medical College and associated Hamidia hospital BHOPAL. Over a period of one year 100 patients fulfilling inclusion criteria, were included and patients were broadly categorized according to type of cerebrovascular accident i. e. cerebral thrombosis and cerebral hemorrhage.12 lead ECG was done for all cases as soon as patient was admitted. A repeat ECG was done on 3rd and 7th days in all patients who survived.2D ECHO was done with in 72 hours of admission, CPK MB and other routine investigations were done on admission. RESULTS: In this study the correlation of ECG changes, ECHO changes and serum CPK MB levels and Glasgow Coma Scale on admission, with mortality at the end of 1 week was determined. Among ECG changes QTc prolongation was significantly associated with mortality (p