Korean Circ J.  1981 Dec;11(2):27-35. 10.4070/kcj.1981.11.2.27.

Electrocardiographic Changes in CVA Patients According to its Location and Etiology

• Hwang SB
• Cho SH
• Lee YB
• Koh YB
• Lee Y
• Kim KM

• KMID: 2229759
• DOI: http://doi.org/10.4070/kcj.1981.11.2.27

Abstract

Patients with cerebrovascular accidents often have abnormal electrocardiograms in the absence of known organic heart disease. In 1901 harvey Cushing has discovered sinus bradycardia in CVA patients. Burch, Myers and Abildskov were the first to report electrocardiographic abnormalities in CVA. Since then many reports have appeared in the literature. This study was done utilizing brain C-T scan to varify and localize the site of CVA, for purposes of correlation of the CVA with abnormalities of electrocardiogram. We obtained the following results. 1. Among 250 cases of CVA, 107 cases were excluded due to pre-existing cardiac disease, abnormal serum electrolyte and early death. 2. Among 143 cases, intracranial hemorrhage were 62.9% and brain infarction were 37.1%. 3. In intracranial hemorrhage, normal electrocardiographic finding were only 4.5%. Q-Tc prolongation revealed 64.5%. 4. In brain infarction, normal electrocardiographic finding was only 5.7%. Q-Tc prologation revealed 64%.

MeSH Terms

Bradycardia
Brain
Brain Infarction
Electrocardiography*
Heart Diseases
Humans
Intracranial Hemorrhages
Stroke