COMPARISON OF ECG ABNORMALITIES IN HYPERTENSIVE AND NON-HYPERTENSIVE STROKE CASES IN STROKE CASES.

Authors

  • Osaretin John Osarenkhoe Cardiology department, Igbinedion University Teaching Hospital, Okada, Edo state, Nigeria
  • Osemwegie Austine Obasohan Cardiology division, Department of Medicine, University of Benin Teaching Hospital, Benin city, Edo, Nigeria

Keywords:

Stroke, cerebrovascular accident, hypertension, ECG, ischaemic heart disease

Abstract

Aim: To evaluate the difference in ECG abnormalities in stroke patients in relation to
hypertension as risk factor in University of Benin Teaching Hospital (UBTH)
Methods: This was a cross sectional analytical study carried out in University of Benin Teaching
Hospital (UBTH), Benin between January 2010 and 2013. Study subjects consisted of consecutive
one hundred and twenty admitted stroke patients who met the inclusion criteria. History and
physical examination were carried out for all patients with laboratory investigations and
electrocardiographic examinations also performed on all patients. The data was analyzed using
SPSS version 21 software with a p–value of less than 0.05 considered significant for all
comparisons.
Result: Stroke was more in hypertensive ninety-two (76.67%) than non-hypertensive twentyeight (23.33%) in this study. Sixteen (19.05%) and twelve (33.33%) of cases less than sixty-five
years and greater than sixty-five years respectively in this study had no ECG abnormalities. Sixtyeight (73.90%) and twenty-four (85.70%) of cases hypertensive and non-hypertensive
respectively had ECG abnormalities, this was not significant p = 0.196
Conclusion: Left axis deviation and ST depression predominates in hypertensive cases and left
ventricular hypertrophy predominates in non-hypertensive cases. Left atrial enlargement was
only seen in hypertensive while bi-atrial enlargement only in non- hypertensive cases and this
difference was significant.

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Published

2022-09-12