Autor: |
Maud Maza, Maurice Giroud, Yves Cottin, Joelle Hamblin, Vanessa Fernandez, Zeller Marianne, Yannick Béjot, Claude Touzery |
Rok vydání: |
2014 |
Předmět: |
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Zdroj: |
Archives of Cardiovascular Diseases Supplements. 6:38-39 |
ISSN: |
1878-6480 |
DOI: |
10.1016/s1878-6480(14)71366-7 |
Popis: |
Background Atrial fibrillation (AF) is a major etiological factor of ischemic strokes (IS). Recent data suggested that subclinical, i.e. silent AF, assessed at the acute phase of stroke by Continuous ECG Monitoring (CEM) is frequent, and associated with a worse prognosis. The aim of our study was to investigate the incidence and determinants of silent AF in patients with acute IS. Methods All consecutive patients admitted on the stroke unit of CHU DIJON for IS or TIA were prospectively enrolled from March to December 2012. Patients with a history of AF or who experienced symptomatic AF during their hospital stay were excluded. Silent AF was assessed by CEM for 24h after admission and defined as at least 1 episode >30 sec without p waves, and with irregular RR intervals. An echocardiography was performed at 2±1 d to measure left ventricular ejection fraction (LVEF) and left auricular (LA) dimensions. Results Among the 187 patients included, 19 (10%) developed silent AF. Patients with silent AF were markedly older (76 vs. 66 years, p |
Databáze: |
OpenAIRE |
Externí odkaz: |
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