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- Title
Paf-Related Ischemic Stroke: Clinical, Radiological and Echocardiographic Findings.
- Authors
ALTINTAS, Ozge; NIFTALIYEV, Elvin; TASAL, Abdurrahman; ASIL, Talip
- Abstract
Introduction: Atrial fibrillation (AF) is the most common etiological factor involved in ischemic stroke. There are no definitive data regarding the prevalence of paroxysmal AF (PAF)-related ischemic stroke. In this study, we prospectively evaluated clinical, radiological and transthoracic echocardiography(TTE) findings and their association with stroke outcomes. Materials and Methods: We evaluated 48 patients diagnosed with PAF from a cohort of 588 patients with ischemic stroke. Functional independence and good clinical outcome were assessed at 3 months and defined as a mRS score of 0 - 1. Results: The mean age of the study population was 69.04 ± 10.407 years, and 25 patients were females. The leading vascular risk factors were hypertension (89.6%) and hyperlipidemia (54.2%). At 3 months, 37 patients had an mRS score of 0 - 1, six patients had an mRS score of 2 - 3, four patients had an mRS score of 4 - 5 and only one patient had an mRS score of 6. The CHA2DS2VASc score (p = 0.048), NIHSS score (p = 0.0001) and mRS score (0 - 1) were significantly related to a good clinical outcome at 3 months. Therefore, the functional dependence of patients with left atrial diameter greater than 40 mm was increased significantly at 3 months (p = 0.008). Conclusion: In contrast to previous studies on AF stroke, our data showed that PAF is related to a mild stroke outcome at 3 months and rapid regression of the patient's neurological state. We hypothesize that the diameter of the left atrium could be a marker for stroke outcome.
- Subjects
ATRIAL fibrillation; STROKE; DISEASE prevalence; ECHOCARDIOGRAPHY; HYPERLIPIDEMIA
- Publication
Journal of Neurological Sciences, 2015, Vol 32, Issue 4, p617
- ISSN
1300-1817
- Publication type
Article