Association of Left Ventricular Hypertrophy on Echocardiography in Patients with Hemorrhagic or Non-Hemorrhagic Stroke

Abstract

Objectives: Left ventricular hypertrophy (LVH), is related to increased risk of stroke. However, very few studies analyzed association of left ventricular hypertrophy LVH, assessed by echocardiography (echo), in ischemic and hemorrhagic stroke separately. Aim and Objective: To determine the association of left ventricular hypertrophy on echocardiography with hemorrhagic or non-hemorrhagic stroke Methodology: This Cohort study was done in Department of Cardiology, Sheikh Zayed Hospital, Lahore for six months from 01-01-2019 to 30-06-2019. Total 190 patients, fulfilling inclusion and exclusion criteria were selected. All patients underwent for echo and LVH was noted. If EF >40% and left ventricular posterior wall (PW) and inter ventricular septum (IVS) thickness >11mm in males and >10mm in females labelled as LVH. Results: Results of this study showed that the 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 risk 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.