scholarly journals Gastrointestinal and liver diseases and atrial fibrillation: a review of the literature

2019 ◽  
Vol 12 ◽  
pp. 175628481983223 ◽  
Author(s):  
Michelle T. Long ◽  
Darae Ko ◽  
Lindsay M. Arnold ◽  
Ludovic Trinquart ◽  
Jason A. Sherer ◽  
...  
Keyword(s):  
Risk Factors ◽  
Atrial Fibrillation ◽  
Current Literature ◽  
Liver Diseases ◽  
Morbidity And Mortality ◽  
Review Of The Literature ◽  
Significant Morbidity ◽  
Bidirectional Associations

Atrial fibrillation (AF) is the most common arrhythmia worldwide and is associated with significant morbidity and mortality. A number of risk factors have been associated with AF, though few studies have explored the association between gastrointestinal and liver diseases and AF. Additionally, AF and treatment for AF may predispose to gastrointestinal and liver diseases. We review the current literature on the bidirectional associations between gastrointestinal and liver diseases and AF. We highlight the gaps in knowledge and areas requiring future investigation.

Stroke Risk Factors

CNS Spectrums ◽  
2000 ◽  
Vol 5 (3) ◽  
pp. 70-74 ◽  
Author(s):  
Stanley Tuhrim
Keyword(s):  
Risk Factors ◽  
Atrial Fibrillation ◽  
Cigarette Smoking ◽  
Cerebral Infarction ◽  
Carotid Stenosis ◽  
Stroke Risk ◽  
Morbidity And Mortality ◽  
Individual Risk ◽  
Stroke Risk Factors ◽  
The Cost

AbstractDespite advances in the treatment of acute cerebral infarction, the most effective method of reducing stroke morbidity and mortality is the identification and modification of stroke risk factors. Modifiable stroke risk factors include hypertension, atrial fibrillation, hypercholesterolemia, cigarette smoking, hyperhomocystinemia, and carotid stenosis. Improved identification of individuals at increased stroke risk due to these factors can reduce individual risk and the cost to society of the consequences of stroke.

scholarly journals Pediatric Stroke: A Review

2011 ◽  
Vol 2011 ◽  
pp. 1-10 ◽  
Author(s):  
Daniel S. Tsze ◽  
Jonathan H. Valente
Keyword(s):  
Risk Factors ◽  
Clinical Presentation ◽  
Management Strategies ◽  
Morbidity And Mortality ◽  
Pediatric Stroke ◽  
Significant Morbidity ◽  
Short Term ◽  
Delay In Diagnosis

Stroke is relatively rare in children, but can lead to significant morbidity and mortality. Understanding that children with strokes present differently than adults and often present with unique risk factors will optimize outcomes in children. Despite an increased incidence of pediatric stroke, there is often a delay in diagnosis, and cases may still remain under- or misdiagnosed. Clinical presentation will vary based on the child's age, and children will have risk factors for stroke that are less common than in adults. Management strategies in children are extrapolated primarily from adult studies, but with different considerations regarding short-term anticoagulation and guarded recommendations regarding thrombolytics. Although most recommendations for management are extrapolated from adult populations, they still remain useful, in conjunction with pediatric-specific considerations.

scholarly journals Atrial Fibrillation in the Young: A Neurologist’s Nightmare

2015 ◽  
Vol 2015 ◽  
pp. 1-9 ◽  
Author(s):  
Nikhil Aggarwal ◽  
Subothini Selvendran ◽  
Claire E. Raphael ◽  
Vassilios Vassiliou
Keyword(s):  
Atrial Fibrillation ◽  
Clinical Practice ◽  
Cardiac Arrhythmia ◽  
The Elderly ◽  
Morbidity And Mortality ◽  
Significant Morbidity ◽  
Younger Patients ◽  
The Impact

Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia seen in clinical practice with prevalence in excess of 33 million worldwide. Although often asymptomatic and until recently considered a “benign” arrhythmia, it is now appreciated that thromboembolism resulting from AF results in significant morbidity and mortality predominantly due to stroke. Although an arrhythmia more commonly affecting the elderly, AF can also occur in the young. This review focuses on the impact of AF in the younger population and discusses the dilemmas of managing younger patients with AF.

scholarly journals Frontiers of Upstream Stroke Prevention and Reduced Stroke Inequity Through Predicting, Preventing, and Managing Hypertension and Atrial Fibrillation

2020 ◽  
Vol 13 (7) ◽  
Author(s):  
Vincent J. Bufalino ◽  
William K. Bleser ◽  
Elizabeth A. Singletary ◽  
Bradi B. Granger ◽  
Emily C. O’Brien ◽  
...  
Keyword(s):  
Risk Factors ◽  
Atrial Fibrillation ◽  
Health Care ◽  
Stroke Prevention ◽  
Stroke Risk ◽  
Implementation Strategies ◽  
The United States ◽  
Morbidity And Mortality ◽  
Local Context ◽  
Learning Collaborative

Stroke is one of the leading causes of morbidity and mortality in the United States. While age-adjusted stroke mortality was falling, it has leveled off in recent years due in part to advances in medical technology, health care options, and population health interventions. In addition to adverse trends in stroke-related morbidity and mortality across the broader population, there are sociodemographic inequities in stroke risk. These challenges can be addressed by focusing on predicting and preventing modifiable upstream risk factors associated with stroke, but there is a need to develop a practical framework that health care organizations can use to accomplish this task across diverse settings. Accordingly, this article describes the efforts and vision of the multi-stakeholder Predict & Prevent Learning Collaborative of the Value in Healthcare Initiative, a collaboration of the American Heart Association and the Robert J. Margolis, MD, Center for Health Policy at Duke University. This article presents a framework of a potential upstream stroke prevention program with evidence-based implementation strategies for predicting, preventing, and managing stroke risk factors. It is meant to complement existing primary stroke prevention guidelines by identifying frontier strategies that can address gaps in knowledge or implementation. After considering a variety of upstream medical or behavioral risk factors, the group identified 2 risk factors with substantial direct links to stroke for focusing the framework: hypertension and atrial fibrillation. This article also highlights barriers to implementing program components into clinical practice and presents implementation strategies to overcome those barriers. A particular focus was identifying those strategies that could be implemented across many settings, especially lower-resource practices and community-based enterprises representing broad social, economic, and geographic diversity. The practical framework is designed to provide clinicians and health systems with effective upstream stroke prevention strategies that encourage scalability while allowing customization for their local context.

scholarly journals Babesia parasitemia causing splenic infarction: A review of the literature

2016 ◽  
Vol 3 (3) ◽  
pp. 78
Author(s):  
Darren Wong
Keyword(s):  
Splenic Infarction ◽  
Morbidity And Mortality ◽  
Diagnosis And Treatment ◽  
Review Of The Literature ◽  
Significant Morbidity

Babesia remains an underappreciated and under-diagnosed tick-borne pathogen which can lead to significant morbidity and mortality. We present an uncommon manifestation of parasitemia causing splenic infarction. The pathophysiology is reviewed highlighting the significant challenges in diagnosis and treatment of this unique pathogen.

Impact of racial differences on the epidemiology and clinical outcomes of atrial fibrillation

2021 ◽  
Vol 17 ◽  
Author(s):  
Jing Xian Quah ◽  
Dhani Dharmaprani ◽  
Kathryn Tiver ◽  
Andrew D. McGavigan ◽  
Anand N. Ganesan
Keyword(s):  
Atrial Fibrillation ◽  
Clinical Outcomes ◽  
Racial Differences ◽  
Cardiac Arrhythmia ◽  
Healthcare Cost ◽  
Current Literature ◽  
Morbidity And Mortality ◽  
White Population

: Atrial fibrillation (AF) is the most common cardiac arrhythmia and is associated with increased morbidity and mortality. The overall AF burden is expected to rise over the next decade, and this will have significant implications on the healthcare cost. Current literature on the pathophysiology, epidemiology and management of patients with AF have focused mainly on predominantly Caucasian/white population while published studies in non-white populations have been mainly observational or retrospective in nature. Hence, the implications of AF in terms of management and complications in the non-white population have not been fully appreciated. In this review, we summarized based on the available literature, the racial differences in the prevalence, management and outcomes of patients with AF comparing the white vs non-white population.

Studying the Birth Outcome in Tikrit Teaching Hospital

2018 ◽  
Vol 1 (1) ◽  
pp. 55-57
Author(s):  
Areej Noaman
Keyword(s):  
Risk Factors ◽  
Developing Countries ◽  
Teaching Hospital ◽  
Birth Outcome ◽  
Morbidity And Mortality ◽  
Healthy Baby ◽  
Factors Affecting ◽  
Neonatal Deaths ◽  
Healthy Mother

  Background : A successful birth outcome is defined as the birth of a healthy baby to a healthy mother. While relatively low in industrialized world, maternal and fetal morbidity and mortality and neonatal deaths occur disproportionately in developing countries. Aim of the Study: To assess birth outcome and identify some risk factors affecting it for achieving favorable birth outcome in Tikrit Teaching Hospital

Optimizing Heart Rate and Controlling Symptoms in Atrial Fibrillation

2016 ◽  
Vol 10 (1) ◽  
pp. 26
Author(s):  
Pragnesh Parikh ◽  
◽  
KL Venkatachalam ◽  
Keyword(s):  
Risk Factors ◽  
Atrial Fibrillation ◽  
Rate Control ◽  
Stroke Risk ◽  
Symptom Control ◽  
Review Article ◽  
Rhythm Control ◽  
Ventricular Rate ◽  
Control Methods ◽  
Novel Approaches

Atrial fibrillation (AF) is the most common arrhythmia noted in clinical practice and its incidence and prevalence are on the rise. The single most important intervention is the evaluation and treatment of stroke risk. Once the risk for stroke has been minimized, controlling the ventricular rate and treating symptoms become relevant. In this review article, we emphasize the importance of confirming and treating the appropriate arrhythmia and correlating symptoms with rhythm changes. Furthermore, we evaluate some of the risk factors for AF that independently result in symptoms, underlining the need to treat these risk factors as part of symptom control. We then discuss existing and novel approaches to rate control in AF and briefly cover rhythm control methods.

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