دور تخطيط القلب الكهربائي و إيكو القلب و جدواه عبر الصدر في المرحلة الحادة من الاحتشاء الدماغي

الملخص EN

Background &Objective: To in vestigale the role and effectiveness of ECG and transthoracic echo in detecting the cardiogenic etiology of acute ischemic stroke then to help planing the treatment accordingly.

Methods & Material: This is a prospective study of 200 patients who were admitted to AssadUniversity Hospital, the neurology department or ER, in the years of 2013 and 2014 The diagnosis of acute ischemic infarct was confirmed using the CAT scan or MRI of the brain, The patients had an ECG and transthoracic echo to detect the cardiac lesions as a source of emboli.

These lesions were classified as confirmed, possible and probable etiologies Finally, we reviewed the cases that had the echo and ECG as the major role in deciding the treatment plan to assess the value of the cardiac study in each case of acute ischemic stroke.

Result: ECG shows abnormal changes in 31.5% of the case (AF 9.5%, myocardial infarction7 %) whereas the echo shows abnormal changes in 25.5% (5% valvular ,3% dilated cardiomyopathy, 1.5% atrium enlargement,9.5% multiple cardiac lesions).

Echo detects 11% of certain cardiac lesions; all of them have cardiovascular risk factors.

The ECG changes treatment plan in 11% of the cases.

Echo changes the treatment plan in 7.5% of the cases.

Conclusion: ECG should be administered in all cases of acute ischemic infarct; it plays a major role in detecting the cardiac source and adjusting the treatment plan accordingly.

Transthoracic echo should be administered if the history, physical exam, or ECG indicates cardiac etiology and in cryptogenic strokes.