Ischemic stroke electrocardiogram
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Aysha Anwar, M.B.B.S[2]
Overview
An electrocardiogram (ECG) may be performed to determine the underlying etiology such as arrhythmias which may result in clots in the heart that may spread to the brain vessels through the bloodstream. A Holter monitor may be used to identify intermittent arrhythmias.
Electrocardiogram
ECG findings in patients of ischemic stroke may help determine the following:[1][2]
- Underlying cause for ischemic stroke such as embolic source in atrial fibrillation, ongoing myocardial ischemia, chronic myocardial injury and valvular abnormalities.
- ECG monitoring in first 24 hours may help determine the new onset or paroxysmal atrial fibrillation.
- May determine cardiac complications of acute ischemic stroke such as myocardial ischemia or arrythmias.
For AHA/ASA guidelines for cardiac monitoring in patients with ischemic stroke, please click here
References
- ↑ Ustrell X, Pellisé A (2010). "Cardiac workup of ischemic stroke". Curr Cardiol Rev. 6 (3): 175–83. doi:10.2174/157340310791658721. PMC 2994109. PMID 21804776.
- ↑ Togha M, Sharifpour A, Ashraf H, Moghadam M, Sahraian MA (2013). "Electrocardiographic abnormalities in acute cerebrovascular events in patients with/without cardiovascular disease". Ann Indian Acad Neurol. 16 (1): 66–71. doi:10.4103/0972-2327.107710. PMC 3644785. PMID 23661966.