Evaluation of ECG and cardiac Enzyme changes in ischemic and hemorrhagic cva patients in Zabol Amir-al-momenin Hospital in 1400-1401.

Document Type : Research Paper

Authors

1 Assistant Professor of Clinical Toxicology Department of Community Medicine, School of Medicine Pediatric Gastroenterology and Hepatology Research center Zabol University of Medical Sciences

2 Assistant Professor, Zabul University of Medical Sciences

3 Assistant Professor, Neurology, Zabul University of Medical Sciences

4 General medicine student, Zabul University of Medical Sciences

5 Assistant Professor of Neurosurgery - Neurosurgery Department - Skull Base Research Center - Loghman Hakim Hospital - Shahid Beheshti University of Medical Sciences

6 associate professor of pediatric endocrinology -metabolism , Department of pediatric endocrinology, metabolism, school of medicine, loghman hakim hospital , shahid beheshti university of medical sciences

Abstract

Background: With the increase in the life span of human societies, the increase in cases of brain strokes as the third cause of human mortality has gained great importance. Different areas of the brain that are involved in controlling the heart are stimulated after strokes, and the stimulation of the above areas can cause changes in the Q, T, ST segment and QRS complex in the ECG and the occurrence of arrhythmia. Considering the importance of this issue, Then, all patients who were admitted to the emergency and neurology department with the diagnosis of ischemic and hemorrhagic stroke by a respected neurologist based on the medical records, clinical examination and brain CT findings were visited by a respected cardiologist. Also, ECG and cardiac enzyme tests were taken from all patients, and the results were entered into the researcher's checklist after being interpreted by a cardiologist. Finally, the data were entered into the information form of each patient and were described and analyzed using SPSS V22 software.
Results: 72 patients participated in this study. which included 45 patients (62.5%) with ischemic stroke and 27 patients (37.5%) with hemorrhagic stroke. The average diastolic pressure of patients with ischemic and hemorrhagic stroke was 78.11 and 87.96 mm Hg, respectively. (p value=0.009). The frequency of electrocardiogram changes such as QTC increased and T-invert, ST-depression, ST_elevation, Ventrcular_conduction_delay,
Discussion and conclusion: The results of this study showed that patients with ischemic and hemorrhagic stroke do not differ in terms of changes in ECG and cardiac enzymes.

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Medical Journal of Mashhad university of Medical Sciences
Volume 67, Issue 6
January and February 2025
Pages 1538-1546

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