Assessment of Left Ventricular Function in Ischeamic Stroke Patients of Government General Hospital and Madras Medical College, Chennai

Abstract

CONCLUSIONS: • LVSD was observed in 30 patients of the present study (21.13%). • Diastolic dysfunction was observed among 12 patients (3.4%). • Association of LVSD with clinical severity and extent of the stroke had of positive correlation statistically . • Association of LVSD with in hospital stay mortality was not significant. • Hypercholesterolemia was observed as the most common risk factor among the ischaemic stroke patients. • Coexisting coronary artery disease and diabetes mellitus had positive correlation with left ventricular systolic dysfunction. • Smoking was one of the most common risk factor observed among the ischaemic stroke patients. • Patients with symptomatic heart failure of NYHA class III and IV had a positive correlation with left ventricular systolic dysfunction and clinical morbidity in ischaemic stroke. • ECG changes of previous MI had statistically significant correlation with left ventricular systolic dysfunction and clinical morbidity in ischaemic stroke. • Chest x- ray changes of cardiomegaly was observed among 4 out of 9 patients with in hospital stay mortality. • LVSD had no positive correlation with mortality . • 6 out of 12 patients with diastolic dysfunction were asymptomatic

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