Why the study?
Does hypertrophic cardiomyopathy without atrial fibrillation increase the risk of ischemic stroke compared to controls?
Does hypertrophic cardiomyopathy without atrial fibrillation increase the risk of ischemic stroke compared to controls?
Patients with hypertrophic cardiomyopathy without atrial fibrillation have an ischemic stroke risk comparable to the general population with atrial fibrillation, suggesting a potential role for oral anticoagulation.
HCM without AF carries stroke risk comparable to AF; leaves open whether anticoagulation merits trials before any practice shift.
-VASc score, HCM subjects with score 0, 1 and 2 had significantly increased risk of IS than control while those with score ≥2 had similar risk as control. Compared with general population with AF, HCM patients without AF had similar risk of IS, suggesting OACs might be necessary in HCM patient without AF.
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Lin et al. (2019) studied this question.
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