Background: The annual incidence of intra cerebral hemorrhage (ICH) is 25 cases per 1, 00,000/year. Although ECG abnormalities are well known in ischemic stroke and subarachnoid hemorrhage these change have been rarely been investigated systematically in patients with ICH. Present study was aimed to study any association between ECG changes to the Site of Bleed (SOB) in non-traumatic spontaneous intracerebral hemorrhage (ICH).