Autonomic dysfunction in first ever ischemic stroke: prevalence, predictors and short term neurovascular outcome

Highlights • Few studies have looked into the impact of autonomic dysfunction on post stroke neurovascular outcome. • We compared clinical and Holter based autonomic testing in post stroke survivors. • Clinical and Holter based autonomic testing were comparable in stroke patients. • Insular involvement and higher disability at onset were positively associated with autonomic dysfunction. • Autonomic dysfunction predisposed to more vascular complications and poorer outcome at 1 year.