Key result
Normal ECHO is linked to ~4-fold higher stroke mortality versus abnormal ECHO.
Why the study?
The prognostic significance of 2D echocardiographic changes in left ventricular function among patients with acute onset stroke was not well established.
Cross-Sectional (n=92)
No
Absolute Event Rate: 11.8% vs 41.5%
p-value: p=0.001076
Abnormal echocardiography was associated with lower mortality in acute stroke but should not change practice; this cross-sectional finding leaves open its independent prognostic value.
Introduction: Research was conducted to determine if 2D echocardiography changes in various types of cerebrovascular accidents had any prognostic significance.With this a study was conducted to evaluate left ventricular function in acute onset stroke using 2D-Echocardiography.Methods: It was a cross-sectional study conducted in the department of General medicine of GSL Medical College.Study was conducted between October 2019 and March 2021.The study protocol was approved by the institutional ethics committee.Informed written consent was obtained from all the study participants.Those <20 years, traumatic patients with neurological defects, those with abnormal 2D echo findings, neoplastic patients, unwilling individuals were excluded from the research.Detailed neurological examination, including fundoscopy and cardiovascular examination, were carried.Necessary relevant investigations such as hematological parameters, 2D Echo, ECG were carried as per the institutional protocol.Results were analyzed regarding age, sex, and other risk factors and in relation to Echocardiographic evaluation of left ventricular function.P <0.05 was considered statistically significant.Results: Majority were in 50 -59 (30.4%) years group; the mean age was 56.13 ± 14.07 years.Male female ratio was 1.7.Hypertension was the leading (51%; 47) risk factor.CT findings reveal that 68.48% (63) had ischemic stroke (IS) Among the IS, normal ECG was detected in 20.6% and it was 6.6% in HS group.Those showed abnormal ECG changes, 48.9% were survived and 23.9% were dead.In the normal ECG findings, it was 22.8% and 4.35%, respectively.Conclusions: IS was the leading risk factor.With ECHO, statistically there was significant in the dead criteria.Small sample size and short duration are the limitations of this research.
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A 2023 study conducted a cross-sectional in Acute onset stroke (n=92). Abnormal 2D echocardiography findings vs. Normal 2D echocardiography findings was evaluated on Mortality (p=0.001076). Abnormal echocardiographic findings in patients with acute onset stroke were significantly associated with mortality, with 6 deaths (11.8%) in the abnormal ECHO group compared to 17 deaths (41.5%) in the normal ECHO group (p=0.001076).
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