European Journal of Cardiovascular Medicine

Introduction: Cerebrovascular accident (CVA) or stroke is defined as an abrupt onset of a neurologic deficit that is attributable to a focal vascular cause. 1Cerebrovascular accidents (CVA) can be classified into two major categories: about 87% of strokes are ischemic, the rest being haemorrhagic. It is difficult to be sure clinically about the type of stroke (haemorrhagic or ischemic) in majority of cases as there is no absolute differentiating feature. Aim:Monitoring ECG changes in real time can help lessen the severity of the consequences of a cardiovascular event and the number of casualties.  Materials and Methods: The present study was a hospital based prospective observational study. This Study was conducted from December 2020 to May 2022 at Departmentof General Medicine, Katihar Medical College, Katihar. Result:In this study, ST segment changes, T wave changes, U waves, Q waves, LVH, Sinus arrhythmia, P Pulmonale, Normal were significantly associated with type of stroke. Conclusion:Patients with cerebrovascular accidents often have abnormal electrocardiogram in the absence of known organic heart disease or electrolyte imbalance. These ECG changes are more common in intracerebral hemorrhage and subarachnoid hemorrhage than in infarcts.