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

Autor: 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
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Arquivos de Neuro-Psiquiatria, Vol 81, Iss 04, Pp 329-333 (2023)
Druh dokumentu: article
ISSN: 0004-282X
1678-4227
DOI: 10.1055/s-0043-1767821
Popis: 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.
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