COMPREHENSIVE CARDIAC ASSESSMENT IN ACUTE ISCHEMIC STROKE PATIENTS: INTEGRATING ELECTROCARDIOGRAM AND 2-DIMENSIONAL TRANSTHORACIC ECHOCARDIOGRAPHY FOR ENHANCED DIAGNOSIS AND RISK STRATIFICATION

Abstract

Acute ischemic stroke continues to be one of the top causes of death worldwide, necessitating precise diagnostic techniques for effective treatment. Due to the lack of precise markers, clinical distinction of stroke subtypes is currently difficult. Integrating cutting-edge imaging methods like 2-Dimensional Transthoracic Echocardiography (2D TTE) and Electrocardiogram (ECG) could yield insightful results.

Materials and Methodology: In the prospective observational study, we looked at 2D TTE and ECG changes in 96 patients who had an acute ischemic stroke. Within 72 hours of admission, patients were evaluated, with an emphasis on 2D TTE findings (normal, left ventricular dysfunction, mitral valve abnormalities, and aortic valve abnormalities) and ECG abnormalities.

Results: T wave inversion (30.2%), ST-segment depression (38.5%), and U waves (53.1%), among other ECG anomalies, were among the numerous. 44.8% of the cases with 2D TTE were normal, 34.3% had left ventricular dysfunction, and 14.5% had defective mitral valves. Across age categories, notable ECG and 2D TTE findings were seen, highlighting the value of thorough evaluations.

Conclusion: Combining 2D TTE and the ECG to diagnose acute ischemic stroke can reveal subtle cardiac involvement. These techniques support risk classification and subtype identification, particularly with relation to ASCVD risk factors. For accurate risk assessment and customized treatment options, routine ECG and 2D TTE evaluation is essential