Background: An acute cerebrovascular accident (CVA), commonly known as a stroke, occurs when there is a sudden disruption of blood flow to the brain, leading to damage of brain tissue. The present study was conducted to assess electrocardiographic changes in acute cerebrovascular accidents.Materials & Methods:60 patients of acute cerebrovascular accidents of both genders were enrolled. A complete blood count, serum electrolyte levels, a CT scan, fasting blood sugar levels, a fasting lipid profile, and an ECG recording within 24 hours of admission were recorded.Results: Out of 60 patients, males were 32 and females were 28.The type of events was cerebral thrombosis in 34 and cerebral hemorrhage in 26 patients. Types of ECG changes were QT prolongation in 14, ST depression in 12, T wave inversion in 8, prolonged PR interval in 7, sinus tachycardia in 5, sinus bradycardia in 8, atrial fibrillation in 5 and sinus arrhythmia1patients. The difference was significant (P< 0.05).Conclusion: ECG abnormalities are frequently observed in acute cerebrovascular accident patients.