Association of Left Ventricular Hypertrophy on Echocardiography with Hemorrhagic and Non-Hemorrhagic Stroke

Abstract

Introduction: Left ventricular hypertrophy (LVH) is related to increased risk of stroke. However, very few studies analyzed association of LVH assessed by Echocardiography (Echo) in ischemic and hemorrhagic stroke separately.

Aims & Objectives: To determine the association of left ventricular hypertrophy on echocardiography with hemorrhagic or non-hemorrhagic stroke.

Place & Duration of Study: Study was done in Department of Cardiology Shaikh Zayed Hospital Lahore for six months from 01-01-2019 to 30-06-2019.

Material & Methods: Total 190 patients, fulfilling inclusion and exclusion criteria were selected. All patients underwent for echo and LVH was noted. Left ventricular posterior wall (PW) and inter ventricular septum (IVS) thickness>11mm in males and >10mm in females labeled as LVH.

Results: Results of this study showed that risk of LVH was 1.66 times higher among patients who presented with Hemorrhagic: 57.9% vs Non-hemorrhagic stroke: 34.7%. Elderly age group patients (RR: 1.85), female patients (RR:2.53), overweight patients (RR:2.38), longer duration of stroke (RR:2.42) and diabetic patients had higher association with LVH in hemorrhagic stroke.

Conclusion: It was observed in this study that patients having hemorrhagic stroke had higher association of left ventricular hypertrophy (LVH) as compared to Non- Hemorrhagic stroke. Further studies are needed in this domain to address the association between LVH and hemorrhagic stroke.