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

页码：288 / 294

页数：7

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