Different Changes In Electrocardiogram In Cases Of Acute Cerebrovascular Accidents

INTRODUCTION:Stroke is dened as a "neurological decit of cerebrovascular cause that persists beyond 24 hours or is interrupted by death within 24 hours"[1] .CVA can be classied into two major categories- ischemic and hemorrhagic strokes.[2] About 87% are ischemic strokes and the rest being hemorrhagic in origin. studies have demonstrated the fact that primary neurologic abnormalities may produce ECG changes without any myocardial lesion. ECG changes affecting T waves, U wave,ST segment, QT interval and arrhythmias have been reported. These changes may resemble those of myocardial ischemia and myocardial infarction, leading to misinterpretation and delay in operative management of sub arachanoid hemorrhage[3]. There are evidences suggesting, that patients who had ECG changes following CVA had poor prognosis compared to who don't have changes in ECG. Approximately 2-6% of all CVA patients die from cardiac causes in rst 3 months after ischemic stroke[4].