CLINICAL FEATURES AND OUTCOME IN ISCHEMIC STROKE PATIENTS WITH ATRIAL FIBRILLATION

Võ Hồng Khôi 1,2,, Lê Thị Nga1
1 Hanoi Medical University
2 Bach Mai Hospital

Main Article Content

Abstract

Background: Stroke is the third most common cause of death worldwide after focal ischemic heart disease and cancer. In general stroke patients, ischemic type accounts for 85%. Stroke patients due to cardioembolic etiology tend to have worse pronosis for recovery. Atrial fibrillation is the most common cardiac arrhythmia. The most serious common complication of atrial fibrillation is arterial thromboembolism; the most clinically evident thromboembolic event is ischemic stroke. In Vietnam, there have not been any studies on clinical features and outcome of ischemic stroke in patients with atrial fibrillation. Objectives: to describe clinical features and outcome in ischemic stroke patients with atrial fibrillation. Subjects and methods: A prospective, descripive study . Result: clinical symptoms of the fulminant period in stroke patients due to atrial fibrilation are similar to other causes. Most patients have poor clinical recovery from treatment.

Article Details

References

1. GBD 2016 Stroke Collaborators (2019). Global, regional, and national burden of stroke, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Neurol, 18(5), 439–458.
2. 2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association of Cardio-Thoracic Surgery (EACTS) | European Heart Journal | Oxford Academic. , accessed: 18/10/2020.
3. Đỗ Minh Chi C.P.P. (2014). Nghiên cứu các yếu tố tiên lượng trên bệnh nhân nhồi máu não có rung nhĩ.
4. Kongbunkiat K., Kasemsap N., Travanichakul S. và cộng sự. (2015). Hospital mortality from atrial fibrillation associated with ischemic stroke: a national data report. Int J Neurosci, 125(12), 924–928.
5. Lê Thị Thúy Hồng L.V.T. (2015). Đặc điểm lâm sàng, chụp cắt lớp vi tính và các yếu tố tiên lượng của bệnh nhân nhồi máu não có bệnh lý tim mạch.
6. Akanksha W.G., Paramdeep K., Gagandeep S. và cộng sự. (2017). Clinical Features, Risk Factors, and Short-term Outcome of Ischemic Stroke, in Patients with Atrial Fibrillation: Data from a Population-based Study. Ann Indian Acad Neurol, 20(3), 289–293.
7. Chu Bá Chung (2017). Nghiên cứu các yếu tố tiên lượng tử vong trên bệnh nhân nhồi máu não trong bốn tuần đầu. .
8. Arauz A., Ruiz-Navarro F., Barboza M.A. và cộng sự. (2017). Outcome, Recurrence and Mortality after Non-Valvular Atrial Fibrillation Stroke: Long-Term Follow-Up Study. J Vasc Interv Neurol, 9(6), 5–11.
9. Goel D., Gupta R., Keshri T. và cộng sự. (2020). Prevalence of atrial fibrillation in acute ischemic stroke patients: A hospital-based study from India. Brain Circ, 6(1), 19–25.