Scanning of paroxysmal atrial fibrillation as an etiological risk factor in patients with acute ischemic stroke: prospective study

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dc.contributor.authorGunduz, Zahide Betul
dc.contributor.authorSertdemir, Ahmet Lutfi
dc.contributor.authorBuyukterzi, Zafer
dc.date.accessioned2024-02-23T14:32:09Z
dc.date.available2024-02-23T14:32:09Z
dc.date.issued2022
dc.departmentNEÜen_US
dc.description.abstractBACKGROUND: Prevention of recurrence of stroke depends on recognition of the underlying mechanism of ischemia. OBJECTIVE: To screen patients who were hospitalized with diagnosis of acute ischemic stroke in terms of atrial fibrillation (AF) with repeated Holter electrocardiography recordings. DESIGN AND SETTING: Prospective study conducted at Konya Education and Research Hospital, Turkey. METHODS: Patients with a diagnosis of acute ischemic stroke, without atrial fibrillation on electrocardiog-raphy (ECG), were evaluated. Their age, gender, histories of previous ischemic attack, occurrences of parox-ysmal atrial fibrillation (PAF) and other risks were assessed during the first week after acute ischemic stroke and one month thereafter. ECG recordings were obtained from 130 patients through 24-hour ambulatory Holter. Patients without PAF attack during the first Holter were re-evaluated. RESULTS: PAF was detected through the first Holter in 33 (25.4%) out of 130 acute ischemic stroke pa-tients. A second Holter was planned for 97 patients: 53 (54.6%) of them could not attend due to COVID-19 pandemic; while 44 (45.3%) patients had the second Holter and, among these, 4 (9.1%) had PAF. The only parameter associated with PAF was older age. Four (10.8%) of the 37 patients with PAF had also symptom-atic carotid stenosis. CONCLUSIONS: Detecting the presence of PAF by screening patients with no AF in the ECG through Holter ECG examinations is valuable in terms of changing the course of the treatment. It should be kept in mind that the possibility of accompanying PAF cannot be ruled out in the presence of other factors that pose a risk of stroke.en_US
dc.description.sponsorshipMedical Specialty Education Board of the Saglik Bilimleri University, Konya Education and Research Hospital [48929119/774-05/03/2020]en_US
dc.description.sponsorshipSources of funding: The study was funded by the Medical Specialty Education Board of the Saglik Bilimleri University, Konya Education and Research Hospital (48929119/774-05/03/2020)en_US
dc.identifier.doi10.1590/1516-3180.2021.0156.R2.08062021
dc.identifier.endpage187en_US
dc.identifier.issn1516-3180
dc.identifier.issue2en_US
dc.identifier.pmid35195235en_US
dc.identifier.scopus2-s2.0-85127044498en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage182en_US
dc.identifier.urihttps://doi.org/10.1590/1516-3180.2021.0156.R2.08062021
dc.identifier.urihttps://hdl.handle.net/20.500.12452/15520
dc.identifier.volume140en_US
dc.identifier.wosWOS:000800578200004en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherAssociacao Paulista Medicinaen_US
dc.relation.ispartofSao Paulo Medical Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectIschemic Strokeen_US
dc.subjectElectrocardiographyen_US
dc.subjectAmbulatory Strokeen_US
dc.subjectAcuteen_US
dc.titleScanning of paroxysmal atrial fibrillation as an etiological risk factor in patients with acute ischemic stroke: prospective studyen_US
dc.typeArticleen_US

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