Incidence of cardioembolic stroke related to atrial fibrillation in Joinville, Brazil.

Autor:	Diegolli H; Hospital Municipal São José, Departamento de Medicina Interna, Serviço de Neurologia, Joinville SC, Brazil., Oliveira RENDN; Hospital Municipal São José, Departamento de Medicina Interna, Serviço de Neurologia, Joinville SC, Brazil., Silva CFD; Hospital Municipal São José, Departamento de Medicina Interna, Serviço de Neurologia, Joinville SC, Brazil., Silva GFD; Universidade da Região de Joinville, Departamento de Medicina, Joinville SC, Brazil., Souza FF; Universidade da Região de Joinville, Departamento de Medicina, Joinville SC, Brazil., Machado FRA; Universidade da Região de Joinville, Departamento de Medicina, Joinville SC, Brazil., Lacerda MP; Universidade da Região de Joinville, Departamento de Medicina, Joinville SC, Brazil.; Hospital Municipal São José, Departamento de Medicina Interna, Serviço de Hematologia, Joinville SC, Brazil.
Jazyk:	angličtina
Zdroj:	Arquivos de neuro-psiquiatria [Arq Neuropsiquiatr] 2023 Apr; Vol. 81 (4), pp. 329-333. Date of Electronic Publication: 2023 May 09.
DOI:	10.1055/s-0043-1767821
Abstrakt:	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. Competing Interests: The authors have no conflict of interest to declare. (Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/).)
Databáze:	MEDLINE
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