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:	Indu Bhana, Archana Ojha, Rajendra Kumar Pandey, Durgvijay Singh, Mahendra Chourasiya
Formato:	article
Lenguaje:	EN
Publicado:	JCDR Research and Publications Private Limited 2021
Materias:	atrial dilatation holter monitoring national institute of health stroke scale recurrent stroke Medicine R
Acceso en línea:	https://doaj.org/article/5efd04e341a945c9a0e667f74ab24172
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spelling	oai:doaj.org-article:5efd04e341a945c9a0e667f74ab241722021-11-11T18:28:55ZPrevalence of Atrial Fibrillation in Patients with Acute Ischaemic Stroke: A Multicentric Cohort Study10.7860/JCDR/2021/49603.154392249-782X0973-709Xhttps://doaj.org/article/5efd04e341a945c9a0e667f74ab241722021-09-01T00:00:00Zhttps://www.jcdr.net/articles/PDF/15439/49603_CE[Ra1]_F(SHU)_PF1(SG_SHU)_PFA(KM_AnK)_PB(SG_SHU)_PN(SHU).pdfhttps://doaj.org/toc/2249-782Xhttps://doaj.org/toc/0973-709XIntroduction: 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.Indu BhanaArchana OjhaRajendra Kumar PandeyDurgvijay SinghMahendra ChourasiyaJCDR Research and Publications Private Limitedarticleatrial dilatationholter monitoringnational institute of health stroke scalerecurrent strokeMedicineRENJournal of Clinical and Diagnostic Research, Vol 15, Iss 9, Pp OC21-OC24 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	atrial dilatation holter monitoring national institute of health stroke scale recurrent stroke Medicine R
spellingShingle	atrial dilatation holter monitoring national institute of health stroke scale recurrent stroke Medicine R Indu Bhana Archana Ojha Rajendra Kumar Pandey Durgvijay Singh Mahendra Chourasiya Prevalence of Atrial Fibrillation in Patients with Acute Ischaemic Stroke: A Multicentric Cohort Study
description	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.
format	article
author	Indu Bhana Archana Ojha Rajendra Kumar Pandey Durgvijay Singh Mahendra Chourasiya
author_facet	Indu Bhana Archana Ojha Rajendra Kumar Pandey Durgvijay Singh Mahendra Chourasiya
author_sort	Indu Bhana
title	Prevalence of Atrial Fibrillation in Patients with Acute Ischaemic Stroke: A Multicentric Cohort Study
title_short	Prevalence of Atrial Fibrillation in Patients with Acute Ischaemic Stroke: A Multicentric Cohort Study
title_full	Prevalence of Atrial Fibrillation in Patients with Acute Ischaemic Stroke: A Multicentric Cohort Study
title_fullStr	Prevalence of Atrial Fibrillation in Patients with Acute Ischaemic Stroke: A Multicentric Cohort Study
title_full_unstemmed	Prevalence of Atrial Fibrillation in Patients with Acute Ischaemic Stroke: A Multicentric Cohort Study
title_sort	prevalence of atrial fibrillation in patients with acute ischaemic stroke: a multicentric cohort study
publisher	JCDR Research and Publications Private Limited
publishDate	2021
url	https://doaj.org/article/5efd04e341a945c9a0e667f74ab24172
work_keys_str_mv	AT indubhana prevalenceofatrialfibrillationinpatientswithacuteischaemicstrokeamulticentriccohortstudy AT archanaojha prevalenceofatrialfibrillationinpatientswithacuteischaemicstrokeamulticentriccohortstudy AT rajendrakumarpandey prevalenceofatrialfibrillationinpatientswithacuteischaemicstrokeamulticentriccohortstudy AT durgvijaysingh prevalenceofatrialfibrillationinpatientswithacuteischaemicstrokeamulticentriccohortstudy AT mahendrachourasiya prevalenceofatrialfibrillationinpatientswithacuteischaemicstrokeamulticentriccohortstudy
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Prevalence of Atrial Fibrillation in Patients with Acute Ischaemic Stroke: A Multicentric Cohort Study

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