Published: 2019-12-23

Clinical study of 2D Echo cardiography findings in stroke- ischemic patients

Rajendraprasad Saligommula, Krishna Chaitanya Alam


Background: The Echocardiography is the mainstay investigation tool used in stroke patients. Stroke has acquired third place as leading cause of death with ischemic stroke being very common among all the types of the stroke.

Objective of the study was to evaluate 2D Echo cardiography findings in the stroke (ischemic) patients.

Methods: Hospital based cross sectional study was carried out among the confirmed 50 patients of ischemic stroke. Routine investigations has been done to all the patients included in the study, specific investigations like 2D echo and CT brain (Plain), Doppler study of carotids and fasting lipid profile has been done.

Results: Majority of the study subjects belonged to the age group of 60-69 years i.e. 36% followed by the age group of 50-59 years. The most common risk factor for this ischemic stroke found out in the present study was hypertension in 66% of the cases. The prevalence of ischemic stroke was 70% in the males and 30% in the females. Out of 50 cases, 43 cases i.e. 86% were having abnormal lipid profile. Bilateral carotid atherosclerosis (64%) is more common than the unilateral carotid atherosclerosis (36%) on color Doppler study. Mitral annular calcification was the most common finding in 2D ECHO study in 52% of the cases.

Conclusions: Males are more affected than females. Hypertension and smoking are two major and predominant risk factors for stroke. Elderly age group is commonly affected. Bilateral carotid atherosclerosis is common finding on color Doppler study and Mitral annular calcification the most common finding in 2D ECHO study.


2D Echo cardiography, Clinical study, Color doppler study, Ischemic, Patients, Stroke

Full Text:



Counsell C, Boonyakarnkul S, Dennis M, Sandercock P, Bamford J, Burn J, et al. Primary intracerebral haemorrhage in the Oxfordshire community stroke project. Cerebro Dis. 1995;5(1):26-34.

Kolominsky-Rabas PL, Weber M, Gefeller O, Neundoerfer B, Heuschmann PU. Epidemiology of ischemic stroke subtypes according to TOAST criteria: incidence, recurrence, and long-term survival in ischemic stroke subtypes: a population-based study. Stroke. 2001;32(12):2735-40.

Arboix A, GarcĂ­a-Eroles L, Massons J, Oliveres M. Predictive clinical factors of in-hospital mortality in 231 consecutive patients with cardioembolic cerebral infarction. Cerebro Dis. 1998;8(1):8-13.

Brickner ME. Cardio embolic stroke. Am J Med. 1996;100:465-74.

Vaidya CV, Majmudar DK. A retrospective study of clinical profile of stroke patients from GMERS Medical College and Hospital, Gandhinagar, Gujarat. Int J Clin Trials. 2014 Jul;1(2):62-6.

Togha M, Gheini MR, Ahmadi B, Khashaiar P, Razeghi S. Lipid profile in cerebrovascular accidents. Iranian J Neurol. 2011;10(1-2):1.

Dey SK, Ahmed S, Rahman KM, Uddin MJ, Alam MR, Bhattacharjee M, et al. Lipid profile among ischemic and haemorrhagic stroke patients. Mymensingh Med J: MMJ. 2010;19(2):176-80.

Bansal M, Singh J, Singh TP, Kaur A. An echocardiographic study in patients with non hemorrhagic cerebral infarction to find cardiac abnormalities. Int J Med Dent Sci. 2016;5(2):1171-7.

Chandrababu Devarapu LS. A prospective study of electrocardiographic and echocardiographic changes in patients with cerebrovascular accidents. Int J Advan Med. 2018;5(4):891.

Fernandes M, Keerthiraj B, Mahale AR, Kumar A, Dudekula A. Evaluation of carotid arteries in stroke patients using color Doppler sonography: A prospective study conducted in a tertiary care hospital in South India. Int J Applied Basic Med Res. 2016;6(1):38.

Haq S, Mathur M, Singh J, Kaur N, Sibia RS, Badhan R. Colour Doppler evaluation of extracranial carotid artery in patients presenting with acute ischemic stroke and correlation with various risk factors. J Clin Diagnostic Res: JCDR. 2017;11(3):TC01.