European Journal of Molecular & Clinical Medicine

Abstract

Background:Definition of stroke which is also called as cerebrovascular accident is fast onset of central nervous system defect that can be due to a focal vascular cause. It is the most common cause of mortality after cardiovascular diseases and carcinoma in developed countries. Abnormal electrocardiographic changes were reported in many patients of cerebrovascular accidents. These changes include ST-T changes, QT prolongation, abnormal U waves etc. A few studies have demonstrated 2D echocardiographic changes in stroke patients in the form of left ventricular dysfunction, aortic valvular disease, mitral valve prolapse, etc.Present study is done to analyse different changes in electrocardiograph and 2D echo patterns in case of cerebrovascular accidents and to assess whether these different changes have got any prognostic significance in these patients.
Aim :
■ To study the changes of ECG and Echocardiography patterns in cases of cerebrovascular accident
■ To assess whether these changes have any prognostic significance in these cases.
Objectives:
■ To study variations in ECG in stroke patients
■ To study variations or abnormalities in echo in stroke patients
■ To rule out end organ insufficiency of vital organs like Kidney and Heart.
Methodology:This Prospective Cross Sectional study will be conducted at AVBRH hospital on 150-200 CVA patients coming under the Dept of Emergency Medicine, JNMC Wardha.Information on stroke will be collected by literature search through online, and consultation with experts. The search strategy will be examination of acute stroke patients of ischemic, haemorrhagic or embolic origin along with doing required investigation (ECG and 2D ECHO) to correlate the changes in same. 12-lead electrocardiography will be done at the time of arrival of the patient. CT scan/MRI will be done within half an hour of coming to Emergency Department and 2D ECHO will be done after active management of stroke.
Expected outcome:We expect ECG changes such as ST-T abnormalities and/ or QT prolongation, etc.