Lone atrial fibrillation and stroke

Détails

ID Serval
serval:BIB_2CB7771D91D6
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Lone atrial fibrillation and stroke
Périodique
Acta Neurologica Scandinavica
Auteur(s)
Bogousslavsky  J., Adnet-Bonte  C., Regli  F., Van Melle  G., Kappenberger  L.
ISSN
0001-6314 (Print)
Statut éditorial
Publié
Date de publication
08/1990
Volume
82
Numéro
2
Pages
143-6
Notes
Journal Article --- Old month value: Aug
Résumé
We studied 21 consecutive patients from the Lausanne Stroke Registry, who had first-ever ischemic stroke and lone atrial fibrillation, with a standard protocol of investigations including brain CT, and non-invasive cardiac and arterial tests. Rarity of associated risk factors and extracranial; arterial disease, presence of distal intracerebral occlusions on early angiography, and topography of cerebral infarct suggested that cardioembolism was the cause of stroke, though echocardiographic evidence for an atrial thrombus was uncommon. There was no recurrence during a post-stroke 14-day phase, during which anticoagulant and antiaggregant therapies were systematically avoided. Though low, the main risk of stroke recurrence was 0.99 per 100 patient-years during a mean follow-up period of 4.8 years, including a mean duration of anticoagulant therapy of 2.3 years in 18 patients. On the other hand, no death, severe cardiac events, or disabling anticoagulation-related hemorrhages occurred.
Mots-clé
Adult Aged Arterial Occlusive Diseases/complications/ultrasonography Atrial Fibrillation/*complications Carotid Artery Diseases/complications/ultrasonography Cerebral Angiography Cerebrovascular Disorders/*complications/radiography Female Follow-Up Studies Humans Male Middle Aged Recurrence Risk Factors Tomography, X-Ray Computed
Pubmed
Web of science
Création de la notice
15/02/2008 11:29
Dernière modification de la notice
20/08/2019 13:11
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