Prevalence of Atrial Fibrillation in Patients with Acute Ischaemic Stroke: A Multicentric Cohort Study
Introduction: India reports high prevalence of stroke, both in rural and urban areas. Secondary prevention is very important in patients with stroke to reduce the morbidity and mortality associated with it. Atrial Fibrillation (AF) is an important risk factor for stroke which can lead to cerebro...
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| Autores principales: | , , , , |
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| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
JCDR Research and Publications Private Limited
2021
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| Materias: | |
| Acceso en línea: | https://doaj.org/article/5efd04e341a945c9a0e667f74ab24172 |
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| Sumario: | Introduction: India reports high prevalence of stroke, both in
rural and urban areas. Secondary prevention is very important
in patients with stroke to reduce the morbidity and mortality
associated with it. Atrial Fibrillation (AF) is an important risk
factor for stroke which can lead to cerebrovascular insult.
Aim: To study the prevalence of AF in patients with acute
ischaemic stroke and to obtain the association between the
parameters such as age, gender, stroke territory and stroke
severity by National Institute of Health Stroke Scale (NIHSS).
Materials and Methods: In this multicentric cohort study, 150
patients with acute ischaemic stroke (new onset or recurrent)
were studied at tertiary care centres located in Indore (Madhya
Pradesh), Prayagraj, Moradabad and Lucknow (Uttar Pradesh)
from January 2020 to January 2021. Age, gender, stroke territory
and stroke severity by NIHSS was recorded and compared
between those with and without AF. The Chi-square test was
used to assess the association and obtaining significance.
Results: Prevalence of AF in patients with stroke was 8% (n=12),
which was significantly high in female population (8 out of 12;
p=0.025), those with age more than 60 years (10 out of 12;
p=0.011), with atrial dilatation (9 out of 12; p=0.124), patients
with severe stroke as per NIHSS (7 out of 12; p=0.001) and those
with poor outcome (8 out of 12; p=0.012).
Conclusion: In the present study, 8% of the stroke patients had
AF with stroke. Elderly age, female sex, and large atrial size on
Echocardiogram (ECHO) should be intensively investigated for
AF in stroke patients. |
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