Incidence and functional outcome of atrial fibrillation and non-atrial fibrillation-related cardioembolic stroke in Joinville, Brazil: a population-based study

被引：0
|
作者：
do Amaral, Claudio Henrique [1 ,2 ]
Amaral, Augusto R. [1 ]
Nagel, Vivian [2 ]
Venancio, Vanessa [2 ]
Garcia, Adriana Coronetti [2 ]
Magalhaes, Pedro S. C. [2 ,3 ]
Longo, Alexandre L. [3 ]
Moro, Carla Hc [3 ]
Reis, Felipe I. [2 ]
D'Avila, Andre [4 ]
Cabral, Norberto L. [1 ,2 ]
机构：
[1] Univ Regiao Joinville, Joinville, SC, Brazil
[2] Registro AVC Joinville, Joinville, SC, Brazil
[3] Clin Neurol Joinville, Joinville, SC, Brazil
[4] Hosp SOS Cardio, Florianopolis, SC, Brazil
来源：
ARQUIVOS DE NEURO-PSIQUIATRIA | 2017年 / 75卷 / 05期
关键词：
stroke; incidence; prognosis; population studies in public health; MODIFIED RANKIN SCALE; ACUTE ISCHEMIC-STROKE; RISK-FACTORS; SUBTYPES; PROGNOSIS; BURDEN; UPDATE; RATES;
D O I：
10.1590/0004-282X20170039
中图分类号：
Q189 [神经科学];
学科分类号：
071006 ;
摘要：
Among ischemic strokes, cardioembolic (CE) stroke has the worst outcome. We measured the incidence of atrial fibrillation (AF) and non-AF related CE strokes, previous anticoagulant use, and the 90-day functional outcome. Using multiple overlapping sources, we included all CE strokes that occurred in 2015 in Joinville, Brazil. Of the 374 ischemic strokes, 23% (84) were CE. The CE age-adjusted incidence, per 1,000 person-years, was 0.14 (0.11-0.17). Of the 26 patients with known prior AF, 73% (19) were not anticoagulated, 77% (20) had a CHA(2)DS(2) VASc score >= 3 and 81% (21) had a HAS-BLED score < 3. After three months, approximately one third of those 26 patients died or became disabled. The incidence of CE stroke in our sample was lower than in other population-based studies. The opportunity for anticoagulation was missed in one third of cases.
引用
收藏
页码：288 / 294
页数：7
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