Frequency and Predictors of Stroke After Acute Myocardial Infarction
Key result
Among 8,485 patients with AMI, in-hospital ischemic stroke occurred in 1.25% and was independently associated with female sex, previous TIA/stroke, new-onset atrial fibrillation, LVEF, and CRP.
Population
8,485 consecutive patients admitted to a cardiology intensive care unit for acute myocardial infarction (AMI)
Design
Cohort
Follow-up
1-year
Authors
Discussion
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Implication
May inform early risk stratification in AMI; extends observational data on predictors but remains hypothesis-generating for prevention.
Study Design
Type
Cohort (n=8,485)
Structured PICO
P
Population
8,485 consecutive patients admitted to a cardiology intensive care unit for acute myocardial infarction, followed for 1 year.
O
Outcome
Frequency, characteristics, and factors associated with in-hospital and postdischarge stroke or transient ischemic attackhard clinical
Stroke after acute myocardial infarction is a rare but serious complication that predominantly occurs early during hospitalization, often with a cardioembolic mechanism, and is associated with specific clinical predictors.
Cite This Study
Hachet et al. (2014) conducted a cohort in Acute myocardial infarction (AMI) (n=8,485). Acute myocardial infarction was evaluated on In-hospital and postdischarge stroke. Among 8,485 patients with AMI, in-hospital ischemic stroke occurred in 1.25% and was independently associated with female sex, previous TIA/stroke, new-onset atrial fibrillation, LVEF, and CRP.