Beta
210897

Estimated prevalence of silent atrial fibrillation in acute ischemic stroke patients

Article

Last updated: 05 Jan 2025

Subjects

-

Tags

-

Abstract

Background: Atrial fibrillation (AF) affects over 34 million people globally and is linked to a five-fold increase in the risk of ischemic disease, which is the primary cause of mortality and long-term disability. Aim: identify silent AF prevailing in acute ischemical stroke. Methods: The present research was conducted on (100) ischemic stroke patients. All patients were subjected to complete clinical examination, ECG and CT brain. In 56% of patients, the normal sinus rhythm and 44%, AF were previously diagnosed with 12%, while 26% were newly diagnosed (undiagnosed AF). Results: Average stroke age was 64.19 ± 12.26 with an incidence almost equal between males and females. The heart rate was within the normal range of 89% of the patients and only 11% experienced tachycardia. The bulk of patients (96%) show normal Echo values whereas just 4% show congestion. All patients (9% in ISU versus 91% in ward) were admitted to hospital, 96% of them remained alive and just 4% perished. Roughly 18% of strokes had ECG-assessed AF at presentation and approximately 44% had an earlier AF history. Conclusion: identification of AF is extremely essential in patients with unknown origin after a stroke, especially since the presence or absence of AF is of considerable clinical significance, particularly with respect to the use of oral anticoagulation and possible future episodes of persistent AF.

DOI

10.21608/bjas.2021.210897

Keywords

Silent, Atrial, Fibrillation, Ischemic, stroke

Authors

First Name

K.S.

Last Name

Moselhey

MiddleName

-

Affiliation

1Neuropsychiatry, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Email

-

City

-

Orcid

-

First Name

M.E.

Last Name

Ebrahem

MiddleName

-

Affiliation

2Internal medicine, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Email

-

City

-

Orcid

-

First Name

and S.M.

Last Name

Shawkey

MiddleName

-

Affiliation

Critical care medicine, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Email

-

City

-

Orcid

-

Volume

6

Article Issue

6

Related Issue

29659

Issue Date

2021-12-01

Receive Date

2021-12-27

Publish Date

2021-12-01

Page Start

23

Page End

27

Print ISSN

2356-9751

Online ISSN

2356-976X

Link

https://bjas.journals.ekb.eg/article_210897.html

Detail API

https://bjas.journals.ekb.eg/service?article_code=210897

Order

3

Type

Original Research Papers

Type Code

1,647

Publication Type

Journal

Publication Title

Benha Journal of Applied Sciences

Publication Link

https://bjas.journals.ekb.eg/

MainTitle

Estimated prevalence of silent atrial fibrillation in acute ischemic stroke patients

Details

Type

Article

Created At

23 Jan 2023