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Estimating Bilateral Atrial Function by Cardiovascular Magnetic Resonance Feature Tracking in Patients with Paroxysmal Atrial Fibrillation
Published on: July 20, 2022
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Predictive Factors for Excellent or Extremely Poor Functional Outcome in Initial Atrial Fibrillation-Related
Koji Tanaka1, Takeshi Yamada, Takako Torii
1Department of Neurology, Saiseikai Fukuoka General Hospital, Kyushu University, Fukuoka, Japan.
European Neurology
|August 11, 2016
Summary
Predictive factors for functional outcomes in atrial fibrillation (AF) stroke patients were identified. Older age and male sex may predict better outcomes, while higher NIHSS scores and comorbidities predict worse outcomes.
Area of Science:
- Neurology
- Cardiology
- Public Health
Background:
- Atrial fibrillation (AF) is a common cause of cardioembolic stroke.
- Predicting functional outcomes after stroke is crucial for patient management.
- Understanding factors influencing stroke recovery can guide therapeutic strategies.
Purpose of the Study:
- To identify predictors of excellent or extremely poor functional outcomes in patients experiencing their first cardioembolic stroke related to AF.
- To analyze demographic, clinical, and comorbidity factors associated with varying stroke recovery levels.
Main Methods:
- Retrospective observational study utilizing a clinical database.
- Inclusion criteria: first-ever AF-related cardioembolic stroke, premorbid modified Rankin Scale (mRS) 0-1, no prior stroke history.
- Analysis of factors associated with excellent (mRS 0-1) and extremely poor (mRS 5-6) functional outcomes.
Main Results:
- Excellent outcome predictors: age >78 years, male sex, absence of hypertension, initial National Institutes of Health Stroke Scale (NIHSS) score ≤9.
- Extremely poor outcome predictors: age >78 years, initial NIHSS score >9, congestive heart failure, ischemic heart disease.
- Specific odds ratios (OR) and confidence intervals (CI) were reported for each factor.
Conclusions:
- Predictive factors can differentiate between excellent and extremely poor functional outcomes in first-time AF-related cardioembolic stroke.
- Early identification of these factors may aid in personalized stroke care and prognosis.
