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2012, Number 2

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Rev Cub Med Int Emerg 2012; 11 (2)

Ischemic stroke and electrocardiographic changes

Sánchez LJV, Domínguez GL, Wong VL, Blanco VE, Chávez EJA, Ortega MLL

Language: Spanish
References: 107
Page: 2408-2433
PDF size: 201.26 Kb.


ABSTRACT

Introduction: In patients with cerebrovascuslar diseases, electrocardiographic complications are clinically important because they represent adverse prognosis for these patients.
Objective: Identify major electrographic manifestations observed during acute phase of schemic stroke.
Methods: a retrospective cross-sectional descriptive study for case series was conducted. It included all patients with ischemic CVD, admitted in the neuro-intensives care units of the National Institute of Neurology and Neurosurgery and the Special Care Unit of Calixto Garcia Hospital, from January 2002 to September 2011.
Results: 58,5 % of these patients had complications. The age rate was 65. Most of the sichemic stroke cases was in patients aging 61 and 70. The total of these cases was 73 (36,5 %). There were 47 patients (23,5 %) aging 51 and 60. The most frequent electrocardiograph alteration turned to be sinus tachycardia (52,5 %) seconded by extrasystoles. Flat or inverted T wave was the third frequent complication (25,5 %).
Conclusions: In the acute phase of ischemic stroke, functional complications of cardiac chrontropism are more frequent than myocardium structural alterations. The etiology of stroke does not influence the risk of cardiovascular alterations during the acute phase. The existence of prior heart disease is a risk factor for the occurrence of cardiovascular alterations during the acute phase of stroke, and it is more frequent in male patients.


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