Non Rheumatic Atrial Fibrillation as Risk of Stroke

Ali Areef Fadhlullah; Asgad A. Abdalgbar; Hanan K. Altalhi

doi:doi:10.11648/j.ajim.20160406.15

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Non Rheumatic Atrial Fibrillation as Risk of Stroke

Ali Areef Fadhlullah, Asgad A. Abdalgbar, Hanan K. Altalhi

Published in American Journal of Internal Medicine (Volume 4, Issue 6)

Received: 21 October 2016 Accepted: 1 November 2016 Published: 25 November 2016

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Abstract

Atrial fibrillation (AF) is one of the main risk factor for ischemic stroke. The reason for an increased stroke risk in AF has always been claimed to be the occurrence of left atrial thrombosis causing arterial embolism. In patients with Rheumatic heart disease especially mitral valve stenosis with AF, the frequency of atrial thrombosis has found to be 30 - 42% (Keren G et al. 1987), and the prevalence of left atrial thrombosis in NRAF are higher than in control 13-27% (Petersen P et al. 1988). Objectives: We investigated if there are any differences in risk factors or atherosclerotic manifestations between ischemic brain infarction patients with and without AF? Are the brain lesions characteristics in these patients similar?Patients and Methods: This is a case- control study of 26 patients with acute ischemic stroke and NRAF (case subjects) a and 26 patients with acute ischemic stroke and sinus rhythm. (control subjects). The patients admitted to the hospital; the diagnosis of cerebral infarction was confirmed by new CT of the brain. All the participants underwent the standard examination and testing as well as ECG and ECHO. Result: Patient with NRAF had higher mortality 30% than in control (SR) 7% (P<0.001). NRAF patients had positive brain CT finding 68% compared to 23% of the SR Patients (P<0.001). Conclusion: Brain infarction in non-Rheumatic AF group are more serious than other and therefor make up a (high risk) group for which acute treatment would be specially indicated and primary prophylaxis with anticoagulants might therefore be considered.

Published in	American Journal of Internal Medicine (Volume 4, Issue 6)
DOI	10.11648/j.ajim.20160406.15
Page(s)	117-119
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2016. Published by Science Publishing Group

Keywords

Cerebral Vascular Accident (CVA), Non Rheumatic Atrial Fibrillation (NRAF), Sinus Rhythm (SR), Electrocardiography (ECG), Echocardiography (ECHO), Atrial Fibrillation (AF)

References

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[11]	Peterson P, Godtfredsen J: Risk factor for stroke in chronic atrial fibrillation. Eur Heart J 1988; 9: 291-294.
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APA Style

Ali Areef Fadhlullah, Asgad A. Abdalgbar, Hanan K. Altalhi. (2016). Non Rheumatic Atrial Fibrillation as Risk of Stroke. American Journal of Internal Medicine, 4(6), 117-119. https://doi.org/10.11648/j.ajim.20160406.15

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ACS Style

Ali Areef Fadhlullah; Asgad A. Abdalgbar; Hanan K. Altalhi. Non Rheumatic Atrial Fibrillation as Risk of Stroke. Am. J. Intern. Med. 2016, 4(6), 117-119. doi: 10.11648/j.ajim.20160406.15

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AMA Style

Ali Areef Fadhlullah, Asgad A. Abdalgbar, Hanan K. Altalhi. Non Rheumatic Atrial Fibrillation as Risk of Stroke. Am J Intern Med. 2016;4(6):117-119. doi: 10.11648/j.ajim.20160406.15

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@article{10.11648/j.ajim.20160406.15,
  author = {Ali Areef Fadhlullah and Asgad A. Abdalgbar and Hanan K. Altalhi},
  title = {Non Rheumatic Atrial Fibrillation as Risk of Stroke},
  journal = {American Journal of Internal Medicine},
  volume = {4},
  number = {6},
  pages = {117-119},
  doi = {10.11648/j.ajim.20160406.15},
  url = {https://doi.org/10.11648/j.ajim.20160406.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.20160406.15},
  abstract = {Atrial fibrillation (AF) is one of the main risk factor for ischemic stroke. The reason for an increased stroke risk in AF has always been claimed to be the occurrence of left atrial thrombosis causing arterial embolism. In patients with Rheumatic heart disease especially mitral valve stenosis with AF, the frequency of atrial thrombosis has found to be 30 - 42% (Keren G et al. 1987), and the prevalence of left atrial thrombosis in NRAF are higher than in control 13-27% (Petersen P et al. 1988). Objectives: We investigated if there are any differences in risk factors or atherosclerotic manifestations between ischemic brain infarction patients with and without AF? Are the brain lesions characteristics in these patients similar?Patients and Methods: This is a case- control study of 26 patients with acute ischemic stroke and NRAF (case subjects) a and 26 patients with acute ischemic stroke and sinus rhythm. (control subjects). The patients admitted to the hospital; the diagnosis of cerebral infarction was confirmed by new CT of the brain. All the participants underwent the standard examination and testing as well as ECG and ECHO. Result: Patient with NRAF had higher mortality 30% than in control (SR) 7% (P<0.001). NRAF patients had positive brain CT finding 68% compared to 23% of the SR Patients (P<0.001). Conclusion: Brain infarction in non-Rheumatic AF group are more serious than other and therefor make up a (high risk) group for which acute treatment would be specially indicated and primary prophylaxis with anticoagulants might therefore be considered.},
 year = {2016}
}

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TY - JOUR
T1 - Non Rheumatic Atrial Fibrillation as Risk of Stroke
AU - Ali Areef Fadhlullah
AU - Asgad A. Abdalgbar
AU - Hanan K. Altalhi
Y1 - 2016/11/25
PY - 2016
N1 - https://doi.org/10.11648/j.ajim.20160406.15
DO - 10.11648/j.ajim.20160406.15
T2 - American Journal of Internal Medicine
JF - American Journal of Internal Medicine
JO - American Journal of Internal Medicine
SP - 117
EP - 119
PB - Science Publishing Group
SN - 2330-4324
UR - https://doi.org/10.11648/j.ajim.20160406.15
AB - Atrial fibrillation (AF) is one of the main risk factor for ischemic stroke. The reason for an increased stroke risk in AF has always been claimed to be the occurrence of left atrial thrombosis causing arterial embolism. In patients with Rheumatic heart disease especially mitral valve stenosis with AF, the frequency of atrial thrombosis has found to be 30 - 42% (Keren G et al. 1987), and the prevalence of left atrial thrombosis in NRAF are higher than in control 13-27% (Petersen P et al. 1988). Objectives: We investigated if there are any differences in risk factors or atherosclerotic manifestations between ischemic brain infarction patients with and without AF? Are the brain lesions characteristics in these patients similar?Patients and Methods: This is a case- control study of 26 patients with acute ischemic stroke and NRAF (case subjects) a and 26 patients with acute ischemic stroke and sinus rhythm. (control subjects). The patients admitted to the hospital; the diagnosis of cerebral infarction was confirmed by new CT of the brain. All the participants underwent the standard examination and testing as well as ECG and ECHO. Result: Patient with NRAF had higher mortality 30% than in control (SR) 7% (P<0.001). NRAF patients had positive brain CT finding 68% compared to 23% of the SR Patients (P<0.001). Conclusion: Brain infarction in non-Rheumatic AF group are more serious than other and therefor make up a (high risk) group for which acute treatment would be specially indicated and primary prophylaxis with anticoagulants might therefore be considered.
VL - 4
IS - 6
ER -

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Author Information

Ali Areef Fadhlullah

Faculty of Medicine, University of Omar El mukhtar, Albayda, Libya
Asgad A. Abdalgbar

Faculty of Medicine, University of Omar El mukhtar, Albayda, Libya
Hanan K. Altalhi

Faculty of Medicine, University of Omar El mukhtar, Albayda, Libya

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APA Style

Ali Areef Fadhlullah, Asgad A. Abdalgbar, Hanan K. Altalhi. (2016). Non Rheumatic Atrial Fibrillation as Risk of Stroke. American Journal of Internal Medicine, 4(6), 117-119. https://doi.org/10.11648/j.ajim.20160406.15

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ACS Style

Ali Areef Fadhlullah; Asgad A. Abdalgbar; Hanan K. Altalhi. Non Rheumatic Atrial Fibrillation as Risk of Stroke. Am. J. Intern. Med. 2016, 4(6), 117-119. doi: 10.11648/j.ajim.20160406.15

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AMA Style

Ali Areef Fadhlullah, Asgad A. Abdalgbar, Hanan K. Altalhi. Non Rheumatic Atrial Fibrillation as Risk of Stroke. Am J Intern Med. 2016;4(6):117-119. doi: 10.11648/j.ajim.20160406.15

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@article{10.11648/j.ajim.20160406.15,
  author = {Ali Areef Fadhlullah and Asgad A. Abdalgbar and Hanan K. Altalhi},
  title = {Non Rheumatic Atrial Fibrillation as Risk of Stroke},
  journal = {American Journal of Internal Medicine},
  volume = {4},
  number = {6},
  pages = {117-119},
  doi = {10.11648/j.ajim.20160406.15},
  url = {https://doi.org/10.11648/j.ajim.20160406.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.20160406.15},
  abstract = {Atrial fibrillation (AF) is one of the main risk factor for ischemic stroke. The reason for an increased stroke risk in AF has always been claimed to be the occurrence of left atrial thrombosis causing arterial embolism. In patients with Rheumatic heart disease especially mitral valve stenosis with AF, the frequency of atrial thrombosis has found to be 30 - 42% (Keren G et al. 1987), and the prevalence of left atrial thrombosis in NRAF are higher than in control 13-27% (Petersen P et al. 1988). Objectives: We investigated if there are any differences in risk factors or atherosclerotic manifestations between ischemic brain infarction patients with and without AF? Are the brain lesions characteristics in these patients similar?Patients and Methods: This is a case- control study of 26 patients with acute ischemic stroke and NRAF (case subjects) a and 26 patients with acute ischemic stroke and sinus rhythm. (control subjects). The patients admitted to the hospital; the diagnosis of cerebral infarction was confirmed by new CT of the brain. All the participants underwent the standard examination and testing as well as ECG and ECHO. Result: Patient with NRAF had higher mortality 30% than in control (SR) 7% (P<0.001). NRAF patients had positive brain CT finding 68% compared to 23% of the SR Patients (P<0.001). Conclusion: Brain infarction in non-Rheumatic AF group are more serious than other and therefor make up a (high risk) group for which acute treatment would be specially indicated and primary prophylaxis with anticoagulants might therefore be considered.},
 year = {2016}
}

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