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Atrial fibrillation in embolic stroke of undetermined source: role of advanced imaging of left atrial function.
Chousou, Panagiota Anna; Chattopadhyay, Rahul; Ring, Liam; Khadjooi, Kayvan; Warburton, Elizabeth A; Mukherjee, Trisha; Bhalraam, U; Tsampasian, Vasiliki; Potter, John; Perperoglou, Aris; Pugh, Peter John; Vassiliou, Vassilios S.
Afiliación
  • Chousou PA; Norwich Medical School, University of East Anglia, Norwich NR4 7TJ, UK.
  • Chattopadhyay R; Addenbrookes Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, UK.
  • Ring L; Norwich Medical School, University of East Anglia, Norwich NR4 7TJ, UK.
  • Khadjooi K; Addenbrookes Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, UK.
  • Warburton EA; West Suffolk Hospital NHS Foundation Trust, Hardwick Lane, Bury Saint Edmunds IP33 2QZ, UK.
  • Mukherjee T; Addenbrookes Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, UK.
  • Bhalraam U; Addenbrookes Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, UK.
  • Tsampasian V; Department of Clinical Neurosciences, University of Cambridge, Cambridge CB2 3EL, UK.
  • Potter J; Addenbrookes Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, UK.
  • Perperoglou A; Norfolk and Norwich University Hospital NHS Foundation Trust, Norwich NR4 7UY, UK.
  • Pugh PJ; Norwich Medical School, University of East Anglia, Norwich NR4 7TJ, UK.
  • Vassiliou VS; Norwich Medical School, University of East Anglia, Norwich NR4 7TJ, UK.
Eur J Prev Cardiol ; 30(18): 1965-1974, 2023 12 21.
Article en En | MEDLINE | ID: mdl-37431922
One-third of patients with a type of stroke called embolic stroke of undetermined source (ESUS) also have a heart condition called atrial fibrillation (AF), which increases their risk of having another stroke. However, we do not know why some patients with ESUS develop AF. To figure this out, we studied 323 patients with ESUS and used a special device to monitor their heart rhythm continuously for up to 3 years, an implantable loop recorder. We also looked at their medical history, performed a heart ultrasound, and identified some factors that increase the risk of identifying AF in the future. Factors associated with future AF include older age, higher diastolic blood pressure, and problems with the co-ordination and function of the upper left chamber of the heart called the left atrium.Based on these factors, we created a new scoring system that can identify patients who are at higher risk of developing AF better than the current scoring systems, the PADS score. This can potentially help doctors provide more targeted and effective treatment to these patients, ultimately aiming to reduce their risk of having another stroke.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fibrilación Atrial / Accidente Cerebrovascular / Accidente Cerebrovascular Embólico Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Eur J Prev Cardiol Año: 2023 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fibrilación Atrial / Accidente Cerebrovascular / Accidente Cerebrovascular Embólico Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Eur J Prev Cardiol Año: 2023 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Reino Unido