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July 1, 1991Journal of Internal Medicine

Pathogenetic mechanism of stroke in non‐valvular atrial fibrillation: follow‐up of stroke patients with and without atrial fibrillation

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Why the study?

Does the presence of non-valvular atrial fibrillation increase the risk of stroke recurrence, systemic embolism, or death compared to sinus rhythm in patients with brain infarction?

Population

276 stroke patients with brain infarction treated at a population-based stroke unit.

Comparison

Presence of non-valvular atrial fibrillation vs Presence of sinus rhythm (SR)

Design

Cohort

Follow-up

5 years

Authors

CGClaes M. GustafssonSahlgrenska University HospitalMBM BrittonSt Thomas' Hospital

Discussion

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Implication

NVAF signals markedly higher early recurrence and mortality after stroke; leaves open optimal antithrombotic strategies pending randomized trials.

Structured PICO

Does the presence of non-valvular atrial fibrillation increase the risk of stroke recurrence, systemic embolism, or death compared to sinus rhythm in patients with brain infarction?

P
Population
276 stroke patients with brain infarction treated at a population-based stroke unit (n=88 with non-valvular atrial fibrillation, n=188 with sinus rhythm).
I
Intervention
Presence of non-valvular atrial fibrillation (NVAF)
C
Comparator
Presence of sinus rhythm (SR)
O
Outcome
Stroke recurrence or systemic embolismhard clinical

In stroke patients, non-valvular atrial fibrillation is associated with a significantly higher risk of early (1-month) stroke recurrence, systemic embolism, and mortality compared to sinus rhythm, highlighting a critical high-risk window.

Cite This Study

Gustafsson et al. (1991) studied this question.

synapsesocial.com/papers/6a11f3980514fa642cccc97chttps://doi.org/10.1111/j.1365-2796.1991.tb00400.x

Topics

Atrial fibrillationPersistent AF managementAnticoagulation in AF
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Risk of recurrent stroke in patients with atrial fibrillation and non-valvular heart disease.1983 · 147 citations
  2. 2Non-rheumatic atrial fibrillation as a risk factor for stroke.1985 · 156 citations
  3. 3Early recurrent embolism associated with nonvalvular atrial fibrillation: a retrospective study.1983 · 239 citations
  4. 4Cerebral embolism in the Michael Reese Stroke Registry.1983 · 244 citations
  5. 5Heart volume and the prevalence of certain common cardiovascular disorders at 70 and 75 years of age1984 · 30 citations