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The prevalence of ECG abnormalities was 63%. A logistic regression model showed that strain pattern and T-wave alterations were predictors of mortality (odds ratio [OR] 12.970, 95% confidence interval [CI] 1.519-110.723, P = .019; OR 3.873, 95% CI 1.135-13.215, P = .031, respectively) and mRs at 90 days (OR 12.557, 95% CI 1.671-94.374, P = .014; OR 15.970, 95% CI 3.671-69.479, P less then .001, respectively) after stroke, adjusted by sex, age, stroke subtype, entrance NIH, previous mRs score, and stroke thrombolysis. CONCLUSION Strain