Left atrial enlargement has been reported to be associated with ischemic stroke. Limited data are available on the relationship of Left atrial size and Cardiogenic embolic stroke. Our aim is to access the association of left atrial size and the occcurrence of acute ischemic stroke.  Methods: A cross sectional, comparative, analytical, hospital based study was carried out from 2018 to 2019 in Bir Hospital. A total of 93 patients of ischemic stroke were enrolled and 93 patients without stroke were taken as control. Transthorasic Echocardiography was done in every patients and Left atrial diameter was measured according to American echocardiography guidelines. The data were recorded in Excel a sheet and analyzed by SPSS

Keywords : Ischemic stroke; Left atrial enlargement; risk factors.