The unexpected relationship between electrocardiogram and neurological diseases

Abstract

The relationship between Neurology and Cardiology, as well as Neurocardiology Term is, nowadays, more often promoted.The purpose of this paper was to find an objective connection between these two fields of Medicine. Between January 2015 and April 2015, we hospitalized in the Neurology Department 416 patients. We have considered the demographic data, the neurological diagnosis and paraclinic data (minimum two ECGs, one of the moment of admission and the other later). We studied 416 patients, 213 males and 203 females (51,2 % vs 48,8%). We divided the two groups into other ten groups according to the pathology. The mean group was the Acute Stroke Group (111 males vs. 109 females; 52,13 % vs. 53,69 %).For each group we analyzed the Electrocardiograms. In the males group the Acute Stroke is associated with tachycardia, atrial fibrillation, left axis deviation, flattened T waves, amputated R waves, left ventricle hypertrophy; Chronic Stroke (37 males;17,37 %) with tachycardia, intermediate axis, flattened T waves, amputated R waves, left ventricle hypertrophy; Intracerebral Acute Hemorrhages (18 males; 8,45 %) with tachycardia, horizontal axis, negative T waves, left ventricle hypertrophy,extrasistolia; TIA (16 males; 7,51 %) with left axis deviation, flattened T waves, amputated R waves, left anterior hemiblock;%) with tachycardia, left axis deviation, flattened T waves. The differences in the females group are: the Acute Stroke is associated with horizontal axis; Chronic Stroke (31 females; 15,27%) with horizontal axis; Dementia ( 22 females; 10,84 %)with tachycardia, left axis deviation; TIA Dementia (12 males; 5,63 %) with bradycardia, horizontal axis, flattened T waves,amputated R waves; Epilepsy (9 males; 4,22 %) with intermediate axis, negative T waves; Parkinson Disease (6 males; 2,81 %)with flattened T waves;Conclusions: Neurology is strong connected with Cardiology. There are some differences between males and females, but Electrocardiogram shows in cases rhythmus, axis, T and R waves abnormalities and left ventricle hypertrophy.
Keywords: Electrocardiogram, left ventricle hypertrophy, neurology, T waves.