Document Detail


Silent cerebral infarction in chronic atrial fibrillation.
MedLine Citation:
PMID:  3686584     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Atrial fibrillation (AF) is associated with an increased risk of stroke. In AF patients with acute stroke, cerebral computed tomography (CT) often reveals old asymptomatic infarcts. To investigate the frequency of such lesions, 29 AF patients and 29 controls in sinus rhythm without history of cerebrovascular disease were CT scanned. Fourteen patients with AF (48%) had abnormal CT scans with areas of low density with sharp demarcation from surrounding tissue compared with 8 patients in sinus rhythm (28%) (p greater than 0.10). However, the number of abnormal areas with apparent tissue loss was significantly higher in the AF group (39 lesions) compared with the control group (16 lesions) (p = 0.033). The lesions were mainly located in the cortex with no significant difference in lesion size between AF patients and controls. The abnormal areas probably reflected small, clinically silent infarcts. We conclude that these lesions are present in AF patients without history of cerebrovascular events and occur more frequently than in controls without atrial fibrillation.
Authors:
P Petersen; E B Madsen; B Brun; F Pedersen; C Gyldensted; G Boysen
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Stroke; a journal of cerebral circulation     Volume:  18     ISSN:  0039-2499     ISO Abbreviation:  Stroke     Publication Date:    1987 Nov-Dec
Date Detail:
Created Date:  1988-01-20     Completed Date:  1988-01-20     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0235266     Medline TA:  Stroke     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1098-100     Citation Subset:  IM    
Affiliation:
Department of Neurology, University Hospital, Copenhagen, Denmark.
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MeSH Terms
Descriptor/Qualifier:
Aged
Atrial Fibrillation / complications*
Cerebral Infarction / etiology*,  radiography
Chronic Disease
Female
Humans
Male
Middle Aged
Risk Factors
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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