Estimated prevalence of silent atrial fibrillation in acute ischemic stroke patients

K.S. Moselhey, M.E. Ebrahem, and S.M. Shawkey
2021 Benha Journal of Applied Sciences  
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
more » ... nosed 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 fatcat:bjief6zwqnh3lmsv63j54gw5vi