Cardiac arrhythmias in patients with acute cerebrovascular accidents

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Abstract
To assess the incidence and severity of cardiac arrhythmias in the acute period following a cerebrovascular accident (CVA), 30 patients with CVA in a stroke intensive care unit had 24 h of dynamic ECG recordings. Twenty consecutive patients electively admitted for cataract surgery served as a control group and had recordings. Of 30 CVA patients, 15 (50%) had serious ventricular ectopy, compared with only 3 (15%) of the 20 control subjects. Among the patients with CVA, 2 had ventricular tachycardia, 2 had complete atrioventricular block and 2 had asystole, all occurring in CVA involving the anterior circulation. None of the control subjects experienced these arrhythmias. Cardiac arrhythmias are common in patients with acute CVA, especially those involving the anterior circulation. Dynamic ECG recordings may detect such arrhythmias and provide data for therapeutic consideration.

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