Electrocardiogram and 2-Dimensional Transthoracic Doppler Echocardiogram Changes in Patients with Acute Ischemic Stroke

Abstract

With high morbidity and death, acute ischemic stroke is a serious public health issue. The complex relationship between acute ischemic stroke and cardiovascular parameters, particularly alterations in the electrocardiogram (ECG) and 2-Dimensional Transthoracic Doppler Echocardiogram (2D-TTE), has come to light in recent investigations. 96 individuals who had been hospitalized to Krishna Hospital's intensive care unit with a confirmed acute ischemic stroke participated in this prospective observational study. Within 72 hours of hospitalization, 2D-TTE and ECG tests were performed. To obtain a precise stroke diagnosis, thorough clinical examinations and medical histories were conducted. Arrhythmias (26%) and ST-segment alterations (33.3%) were among the ECG results. T-wave abnormalities (19.8%) were also present. Regional wall motion abnormalities were seen in 43.8% of patients during 2D-TTE assessments, whereas valve abnormalities such as mitral regurgitation (18.8%) and aortic stenosis (8.3%) were also found. In 30.2% of patients, enlargement of the left atrium was noted. Different prevalence rates of ECG and 2D-TTE alterations were seen in comparative study by stroke etiology. ECG and 2D-TTE changes are related to acute ischemic stroke, showing the complex interaction between cerebral events and cardiovascular parameters. These findings highlight the necessity of thorough cardiac evaluations and careful cardiac monitoring in stroke patients, which may help to inform early therapies and enhance patient outcomes. Further study should clarify the molecular relationships between stroke and cardiac dysfunction to enable more specialized therapy strategies.