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Documentation of atrial fibrillation prior to first-ever ischemic stroke.
MedLine Citation:
PMID:  24299072     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVES: We assessed the prevalence of atrial fibrillation (AF) prior to first-ever ischemic stroke by examining a comprehensive electronic ECG archive.
METHODS: The study sample comprised 336 consecutive stroke patients (median age 76 (IQ16) y, 200 men) enrolled in Lund Stroke Register from March 2001 to February 2002 and 336 age- and gender-matched controls without stroke history. AF prior to admission was studied using the regional electronic ECG database and record linkage with the National Swedish Hospital Discharge Register (SHDR). Medical records were reviewed for AF documentation and CHA2 DS2 -VASc risk score.
RESULTS: Atrial fibrillation before or at stroke onset was detected in 109 (32.4%) stroke patients and 44 (13.1%) controls, P < 0.001. Twenty-five of 109 stroke patients had AF detected only on previous ECG (n = 14) or through the SHDR (n = 11). The most prevalent type of AF in stroke group was non-permanent AF (59.6%). AF prevalence among patients admitted with sinus rhythm at hospital admission (n = 266) was higher in those with CHA2 DS2 -VASc score ≥ 6 (28.6%) than with CHA2 DS2 -VASc score < 6 (13.0%), P = 0.043.
CONCLUSION: Comprehensive approach for AF screening allows detecting AF in one-third of patients admitted with first-ever ischemic stroke. Patients with high cardiovascular risk are more likely to have non-permanent AF.
Authors:
M A Baturova; A Lindgren; Y V Shubik; S B Olsson; P G Platonov
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-12-2
Journal Detail:
Title:  Acta neurologica Scandinavica     Volume:  -     ISSN:  1600-0404     ISO Abbreviation:  Acta Neurol. Scand.     Publication Date:  2013 Dec 
Date Detail:
Created Date:  2013-12-4     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370336     Medline TA:  Acta Neurol Scand     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Affiliation:
Department of Cardiology, Lund University, Lund, Sweden; North-West Center for Diagnostics and Treatment of Arrythmias, St.Petersburg State University, St. Petersburg, Russia.
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