1122 Stroke with atrial fibrillation: the Auckland regional community stroke study perspective

2005 ◽  
Vol 238 ◽  
pp. S386
Keyword(s):  
Atrial Fibrillation ◽  
Stroke Study ◽  
Regional Community ◽  
Study Perspective

scholarly journals A Comparative Study of Frequency of Atrial Fibrillation (AF) in Patients Diagnosed With Ischemic Stroke

2021 ◽  
Vol 15 (5) ◽  
pp. 920-923
Author(s):  
Muzammil Khalid ◽  
M. Asif Naseer
Keyword(s):  
Atrial Fibrillation ◽  
Ischemic Stroke ◽  
Informed Consent ◽  
Clinical Investigation ◽  
Operational Definition ◽  
Cross Sectional ◽  
Stroke Risk Factors ◽  
Stroke Study ◽  
The Mean ◽  
Obesity Hypertension

Aim: To find frequency of atrial fibrillation (AF) in patients diagnosed with ischemic stroke. Study design: A Cross sectional descriptive study. Place and duration of study: Department of Medicine, PAF Hospital Mushaf, Sargodha from July 4, 2019 to Jan 4, 2020. Methods: In this study a total of 260 patients were taken after taking informed consent meeting inclusion criteria from Department of Medicine, PAF Hospital Mushaf, Sargodha. The informed consent was taken from patients or attendants. Basic information like, age, gender and contact details were taken of all selected subjects. After basic clinical investigation, ECG was done for all patients with 24 hours of Ischemic stroke who presented to the selected setting. Atrial fibrillation was as per operational definition. On pre designed proforma, data was collected from all patients. Results: The mean age of patients was 57.34±12.82 years with minimum and maximum age as 20 and 80 years. There were 150(57.7%) males. According to operational definition 91 (35%) cases had atrial fibrillation while other 169(65%) cases did not have atrial fibrillation. The frequency of atrial fibrillation was statistically same when stratified for age), gender, smoking, obesity, hypertension, diabetes mellitus. Conclusion: The frequency of atrial fibrillation was seen in 35% of the cases having ischemic stroke. Hence if atrial fibrillation is diagnosed early then ischemic stroke can be prevented. Keywords: Stroke, risk factors, complications, echocardiography, atrial fibrillation.

Abstract TP426: Factors Associated With Oral Anticoagulant Non-Use for Patients With Atrial Fibrillation-Related Stroke: The Florida Puerto Rico Atrial Fibrillation Stroke Study

Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Nicole B Sur ◽  
Sebastian Koch ◽  
Kefeng Wang ◽  
Marco R Di Tullio ◽  
Carolina Gutierrez ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Smoking Status ◽  
Oral Anticoagulants ◽  
Private Insurance ◽  
Stroke Severity ◽  
Insurance Status ◽  
Stroke Registry ◽  
Factors Associated ◽  
Stroke Study ◽  
Adjusted Logistic Regression

Background: Oral anticoagulants (OACs) for stroke prevention in atrial fibrillation (AF) are largely underutilized. We identified pre-admission OAC utilization patterns and factors predictive of OAC non-use in patients hospitalized for AF-related stroke. Methods: We included 22,220 patients with ischemic stroke due to previously diagnosed AF enrolled in the Florida Stroke Registry from 2010-2017. A multivariable-adjusted logistic regression model was used to identify factors associated with pre-stroke OAC use for patients with AF-related stroke. Results: A total of 16,246 (73%) patients with AF-related stroke were not on OAC pre-stroke. Compared to patients on OAC, non-OAC patients were more likely to be ≥80 years old, have Medicaid/no insurance, lower CHA 2 DS 2 -VASc scores and greater stroke severity at presentation. After adjustment for age, sex, race-ethnicity, insurance status and vascular risk factors, baseline OAC non-use was higher for patients with Medicaid/no insurance (vs. private insurance, (OR 1.34 [95% CI 1.08-1.67]), smokers (OR 1.29 [1.09-1.52] and patients with NIHSS ≥6 (vs. NIHSS≤5, OR 1.18 [1.11-1.26]). A trend towards greater odds of OAC non-use was seen in women (vs. men, OR 1.07 [0.99-1.14, P=0.07]). Conclusion: The majority of AF-related stroke patients with known AF were not anticoagulated prior to hospitalization for stroke in our study. Insurance status and smoking status had the greatest influence on pre-stroke OAC use. Anticoagulated patients had lower stroke severity on admission. Further efforts are needed to increase OAC use to reduce the burden of stroke for patients with AF, especially for vulnerable populations.

scholarly journals Comparison of Risk of Atrial Fibrillation Among Employed Versus Unemployed (from the REasons for Geographic and Racial Differences in Stroke Study)

2017 ◽  
Vol 120 (8) ◽  
pp. 1298-1301 ◽  
Author(s):  
Elsayed Z. Soliman ◽  
Zhu-Ming Zhang ◽  
Suzanne Judd ◽  
Virginia J. Howard ◽  
George Howard
Keyword(s):  
Atrial Fibrillation ◽  
Racial Differences ◽  
Stroke Study

scholarly journals The Impact of Atrial Fibrillation on the Cost of Stroke: The Berlin Acute Stroke Study

2007 ◽  
Vol 10 (2) ◽  
pp. 137-143 ◽  
Author(s):  
Bernd Brüggenjürgen ◽  
Karin Rossnagel ◽  
Stephanie Roll ◽  
Fredrik L. Andersson ◽  
Dagmar Selim ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Acute Stroke ◽  
Stroke Study ◽  
The Cost ◽  
The Impact

scholarly journals Inflammation and hemostasis in atrial fibrillation and coronary heart disease: The REasons for Geographic And Racial Differences in Stroke study

2015 ◽  
Vol 243 (1) ◽  
pp. 192-197 ◽  
Author(s):  
Wesley T. O'Neal ◽  
Elsayed Z. Soliman ◽  
George Howard ◽  
Virginia J. Howard ◽  
Monika M. Safford ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Racial Differences ◽  
Stroke Study

scholarly journals Mortality in acute stroke with atrial fibrillation. The Italian Acute Stroke Study Group.

Stroke ◽  
1991 ◽  
Vol 22 (2) ◽  
pp. 169-174 ◽  
Author(s):  
L Candelise ◽  
G Pinardi ◽  
A Morabito
Keyword(s):  
Atrial Fibrillation ◽  
Acute Stroke ◽  
Study Group ◽  
Stroke Study ◽  
Stroke Study Group

Use of Antihypertensive and Antithrombotic Medications after Stroke in Community-Based Care

2001 ◽  
Vol 35 (7-8) ◽  
pp. 811-816 ◽  
Author(s):  
Sally K Rigler ◽  
Melissa J Webb ◽  
Atul T Patel ◽  
Sue Min Lai ◽  
Pamela W Duncan
Keyword(s):  
Atrial Fibrillation ◽  
Blood Pressure ◽  
Antihypertensive Medication ◽  
Medication Use ◽  
Antihypertensive Agents ◽  
Channel Blockers ◽  
Community Based ◽  
Converting Enzyme Inhibitors ◽  
Stroke Study ◽  
Blood Pressures

BACKGROUND: Secondary stroke prevention strategies include pharmacologic approaches to control hypertension and reduce thromboembolic risk. OBJECTIVE: To describe antithrombotic and antihypertensive medication use, and rates of blood pressure control in the Kansas City Stroke Study, a prospective stroke cohort receiving community-based care after primarily mild and moderate stroke. METHODS: Participants from 12 area hospitals provided information about medication use prior to stroke. Study personnel measured blood pressures at enrollment and at one, three, and six months, and collected medication data at six months during in-home assessment. RESULTS: Complete data at six months were available for 355 subjects with ischemic stroke, among whom 13% had atrial fibrillation and 67% had prior hypertension. Prior to stroke, only 45% of the patients were receiving any antithrombotic (anticoagulant and/or antiplatelet) therapy; this figure rose to 77% at six months. Antithrombotic treatment rates among those with atrial fibrillation were 59% before stroke and 83% at six months, including warfarin in 64%. Approximately 70% of subjects had controlled blood pressures one, three, and six months after stroke, defined as systolic blood pressure ≤140 mm Hg and diastolic blood pressure ≤90 mm Hg. Use of multiple antihypertensive agents was common; calcium-channel blockers and angiotensin-converting enzyme inhibitors were used most frequently. However, 19% of subjects with uncontrolled blood pressure were untreated at six months. CONCLUSIONS: Although room for improvement remains, these data suggest improved rates of antithrombotic and antihypertensive medication use after stroke in community-based care in a midwestern metropolitan community, compared with previous reports.

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