Insular infarcts and electrocardiographic changes at admission
Results of the PRognostic of Insular CErebral infarctS Study (PRINCESS)
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Background and purpose Previous studies showed that insular strokes are associated with electrocardiographic (ECG) changes.However, they did not take into account the 1st ECG recorded at admission, but continuous ECG recorded up to 72 hours after onset. Whether these changes are the consequence of the infarct, or are associated with a cardiac source of cerebral ischemia, remains unsettled. If ECG changes are the consequence of insular infarcts, they should not have developed by the time of admission. The aim of this study was to test the hypothesis that ECG changes in patients with insular infarcts are not present at admission.

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