Incidence and functional outcome of atrial fibrillation and non-atrial fibrillation- related cardioembolic stroke in Joinville, Brazil: a population-based study
ABSTRACT 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 oc...
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| Format: | Article |
| Language: | English |
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Academia Brasileira de Neurologia (ABNEURO)
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| Series: | Arquivos de Neuro-Psiquiatria |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2017000500288&lng=en&tlng=en |
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| author | Claudio Henrique do Amaral Augusto R. Amaral Vivian Nagel Vanessa Venancio Adriana Coronetti Garcia Pedro SC Magalhaes Alexandre L Longo Carla HC Moro Felipe I Reis Andre D’Avila Norberto L Cabral |
| author_facet | Claudio Henrique do Amaral Augusto R. Amaral Vivian Nagel Vanessa Venancio Adriana Coronetti Garcia Pedro SC Magalhaes Alexandre L Longo Carla HC Moro Felipe I Reis Andre D’Avila Norberto L Cabral |
| author_sort | Claudio Henrique do Amaral |
| collection | DOAJ |
| description | ABSTRACT 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 CHA2DS2VASc 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. |
| first_indexed | 2024-12-22T00:04:22Z |
| format | Article |
| id | doaj.art-5c9b6aa393e24d63a880a2c8a24fb131 |
| institution | Directory Open Access Journal |
| issn | 1678-4227 |
| language | English |
| last_indexed | 2024-12-22T00:04:22Z |
| publisher | Academia Brasileira de Neurologia (ABNEURO) |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj.art-5c9b6aa393e24d63a880a2c8a24fb1312022-12-21T18:45:36ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria1678-422775528829410.1590/0004-282x20170039S0004-282X2017000500288Incidence and functional outcome of atrial fibrillation and non-atrial fibrillation- related cardioembolic stroke in Joinville, Brazil: a population-based studyClaudio Henrique do AmaralAugusto R. AmaralVivian NagelVanessa VenancioAdriana Coronetti GarciaPedro SC MagalhaesAlexandre L LongoCarla HC MoroFelipe I ReisAndre D’AvilaNorberto L CabralABSTRACT 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 CHA2DS2VASc 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2017000500288&lng=en&tlng=enacidente cerebral vascularincidênciaprognósticoestudos populacionais em saúde pública |
| spellingShingle | Claudio Henrique do Amaral Augusto R. Amaral Vivian Nagel Vanessa Venancio Adriana Coronetti Garcia Pedro SC Magalhaes Alexandre L Longo Carla HC Moro Felipe I Reis Andre D’Avila Norberto L Cabral Incidence and functional outcome of atrial fibrillation and non-atrial fibrillation- related cardioembolic stroke in Joinville, Brazil: a population-based study Arquivos de Neuro-Psiquiatria acidente cerebral vascular incidência prognóstico estudos populacionais em saúde pública |
| title | Incidence and functional outcome of atrial fibrillation and non-atrial fibrillation- related cardioembolic stroke in Joinville, Brazil: a population-based study |
| title_full | Incidence and functional outcome of atrial fibrillation and non-atrial fibrillation- related cardioembolic stroke in Joinville, Brazil: a population-based study |
| title_fullStr | Incidence and functional outcome of atrial fibrillation and non-atrial fibrillation- related cardioembolic stroke in Joinville, Brazil: a population-based study |
| title_full_unstemmed | Incidence and functional outcome of atrial fibrillation and non-atrial fibrillation- related cardioembolic stroke in Joinville, Brazil: a population-based study |
| title_short | Incidence and functional outcome of atrial fibrillation and non-atrial fibrillation- related cardioembolic stroke in Joinville, Brazil: a population-based study |
| title_sort | incidence and functional outcome of atrial fibrillation and non atrial fibrillation related cardioembolic stroke in joinville brazil a population based study |
| topic | acidente cerebral vascular incidência prognóstico estudos populacionais em saúde pública |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2017000500288&lng=en&tlng=en |
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