Incidence of cardioembolic stroke related to atrial fibrillation in Joinville, Brazil
Background Atrial fibrillation (AF) is an important cause of cardioembolic stroke, and population aging has increased its prevalence. Objective To evaluate the incidence of cardioembolic stroke caused by AF in the city of Joinville, Brazil, as well as previous diagnoses and use of medicat...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Academia Brasileira de Neurologia (ABNEURO)
2023-04-01
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| Series: | Arquivos de Neuro-Psiquiatria |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1767821 |
| _version_ | 1797815142340100096 |
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| author | Henrique Diegolli Raddib Eduardo Noleto da Nobrega Oliveira Caroline Figueiredo da Silva Gustavo Figueiredo da Silva Felipe Fanine de Souza Felipe Reinert Avilla Machado Marcelo Pitombeira de Lacerda |
| author_facet | Henrique Diegolli Raddib Eduardo Noleto da Nobrega Oliveira Caroline Figueiredo da Silva Gustavo Figueiredo da Silva Felipe Fanine de Souza Felipe Reinert Avilla Machado Marcelo Pitombeira de Lacerda |
| author_sort | Henrique Diegolli |
| collection | DOAJ |
| description | Background Atrial fibrillation (AF) is an important cause of cardioembolic stroke, and population aging has increased its prevalence.
Objective To evaluate the incidence of cardioembolic stroke caused by AF in the city of Joinville, Brazil, as well as previous diagnoses and use of medication.
Methods Between 2017 and 2020 we extracted data from the population-based Joinville Stroke Registry. Demographic characteristics, diagnosis of AF, and patterns of medication use were collected, and the Trial of ORG 10172 in Acute Stroke Treatment (TOAST) system was used to classify the etiology.
Results There were 3,303 cases of ischemic stroke, 593 of which were cardioembolic, and 360 had AF. Of the patients with AF, 258 (71.6%) had a previous diagnosis of the disease, and 102 (28.3%) were newly diagnosed after the stroke. Among patients with a previously-diagnosed AF, 170 (47.2%) were using anticoagulants, and 88 (24.4%) were using other medications.
Conclusion During the analyzed period, ischemic stroke caused by AF was a significant burden on the population of Joinville, and a considerable number of patients had undiagnosed or untreated AF. |
| first_indexed | 2024-03-13T08:18:19Z |
| format | Article |
| id | doaj.art-0cfcc6757a1346299a6398c86acd135f |
| institution | Directory Open Access Journal |
| issn | 0004-282X 1678-4227 |
| language | English |
| last_indexed | 2024-03-13T08:18:19Z |
| publishDate | 2023-04-01 |
| publisher | Academia Brasileira de Neurologia (ABNEURO) |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj.art-0cfcc6757a1346299a6398c86acd135f2023-05-31T12:26:16ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria0004-282X1678-42272023-04-01810432933310.1055/s-0043-1767821Incidence of cardioembolic stroke related to atrial fibrillation in Joinville, BrazilHenrique Diegolli0Raddib Eduardo Noleto da Nobrega Oliveira1Caroline Figueiredo da Silva2Gustavo Figueiredo da Silva3Felipe Fanine de Souza4Felipe Reinert Avilla Machado5Marcelo Pitombeira de Lacerda6Hospital Municipal São José, Departamento de Medicina Interna, Serviço de Neurologia, Joinville SC, Brazil.Hospital Municipal São José, Departamento de Medicina Interna, Serviço de Neurologia, Joinville SC, Brazil.Hospital Municipal São José, Departamento de Medicina Interna, Serviço de Neurologia, Joinville SC, Brazil.Universidade da Região de Joinville, Departamento de Medicina, Joinville SC, Brazil.Universidade da Região de Joinville, Departamento de Medicina, Joinville SC, Brazil.Universidade da Região de Joinville, Departamento de Medicina, Joinville SC, Brazil.Universidade da Região de Joinville, Departamento de Medicina, Joinville SC, Brazil.Background Atrial fibrillation (AF) is an important cause of cardioembolic stroke, and population aging has increased its prevalence. Objective To evaluate the incidence of cardioembolic stroke caused by AF in the city of Joinville, Brazil, as well as previous diagnoses and use of medication. Methods Between 2017 and 2020 we extracted data from the population-based Joinville Stroke Registry. Demographic characteristics, diagnosis of AF, and patterns of medication use were collected, and the Trial of ORG 10172 in Acute Stroke Treatment (TOAST) system was used to classify the etiology. Results There were 3,303 cases of ischemic stroke, 593 of which were cardioembolic, and 360 had AF. Of the patients with AF, 258 (71.6%) had a previous diagnosis of the disease, and 102 (28.3%) were newly diagnosed after the stroke. Among patients with a previously-diagnosed AF, 170 (47.2%) were using anticoagulants, and 88 (24.4%) were using other medications. Conclusion During the analyzed period, ischemic stroke caused by AF was a significant burden on the population of Joinville, and a considerable number of patients had undiagnosed or untreated AF.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1767821atrial fibrillationischemic strokeembolic strokecohort studies |
| spellingShingle | Henrique Diegolli Raddib Eduardo Noleto da Nobrega Oliveira Caroline Figueiredo da Silva Gustavo Figueiredo da Silva Felipe Fanine de Souza Felipe Reinert Avilla Machado Marcelo Pitombeira de Lacerda Incidence of cardioembolic stroke related to atrial fibrillation in Joinville, Brazil Arquivos de Neuro-Psiquiatria atrial fibrillation ischemic stroke embolic stroke cohort studies |
| title | Incidence of cardioembolic stroke related to atrial fibrillation in Joinville, Brazil |
| title_full | Incidence of cardioembolic stroke related to atrial fibrillation in Joinville, Brazil |
| title_fullStr | Incidence of cardioembolic stroke related to atrial fibrillation in Joinville, Brazil |
| title_full_unstemmed | Incidence of cardioembolic stroke related to atrial fibrillation in Joinville, Brazil |
| title_short | Incidence of cardioembolic stroke related to atrial fibrillation in Joinville, Brazil |
| title_sort | incidence of cardioembolic stroke related to atrial fibrillation in joinville brazil |
| topic | atrial fibrillation ischemic stroke embolic stroke cohort studies |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1767821 |
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