Background: A stroke is a sudden loss of brain function caused by a disruption in the brain's blood supply. It's the world's second leading killer. 80% of strokes are ischemic. The most prevalent mechanism of hemorrhagic stroke is hypertension small-vessel rupture. The ECG alterations seen during the acute phase of stroke can present diagnostic and treatment problems. The purpose of this study was to investigate electrocardiographic alterations in stroke patients at a Medical College Hospital.

Method: In this study, 50 patients from each group were chosen as cases and controls. The study took place from September 2014 to February 2015 at Dhaka Medical College Hospital. Cases and controls had different electrocardiographic changes.

Result: The study comprised 100 patients aged 30 to 87 in the case group and 13 to 100 in the control group. The majority of 16 patients in the case group were 51-60 years old, while the control group was 41-50 years old. 32 cases (64.0%) were male, while 22 controls (44.0%) were. 96% hemiparesis and 46% aphasia. Controls do not have such displays. Among the cases, 30 (60%) had HTN, 16 (32%) had DM, and 10 (20%) had CVD. 11 (22%) had DM and 10 (20%) had HTN. An abnormal ECG was found in 34 cases (68%) and 8 (16%) of controls. T wave inversion and ST segment depression were seen in 12 patients (24%). Pathologic Q wave was seen in 6 (12%) instances.

Conclusion: In this case control study suggested that the ECG findings abnormality in patients with acute stroke were common. Cardiac evaluation could have prognostic importance.

Keywords: Ichemic stroke, Electrocardiographic changes, stroke patients.

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Dr Md Niaz Mostafa

Medicine specialist, Combined Military Hospital, Cumilla & Assistant Professor Army Medical College, Cumilla