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[The frequency of cerebrovascular disorders in patients with different forms of atrial fibrillation]

A V Melekhov1, G E Gendlin1, E M Alekseeva1

  • 1Pirogov Russian National Research Medical University, Moscow, Russia.

Zhurnal Nevrologii I Psikhiatrii Imeni S.S. Korsakova
|July 1, 2017
PubMed

Insights

Persistent atrial fibrillation (AF) increases the risk of blood circulation disorders (BCD). Patients with persistent AF received insufficient anticoagulant treatment, highlighting a need for improved BCD prevention strategies.

Area of Science:

  • Cardiology
  • Internal Medicine
  • Vascular Medicine

Background:

  • Atrial fibrillation (AF) is a common arrhythmia associated with significant morbidity.
  • Blood circulation disorders (BCD) are a major complication in AF patients.
  • Understanding BCD frequency across different AF types is crucial for risk stratification.

Purpose of the Study:

  • To determine the incidence of BCD in patients with various forms of non-valvular AF.
  • To investigate the relationship between AF duration, anticoagulant use, and BCD.
  • To assess the adequacy of BCD prevention in different AF subtypes.

Main Methods:

  • Retrospective analysis of 1626 non-valvular AF patients' medical records.
  • Data collected from Moscow between 2009 and 2015.
  • Comparison of BCD frequency and anticoagulant usage across AF classifications.

Main Results:

  • Persistent AF patients were older and had higher risks of thromboembolic and hemorrhagic complications.
  • BCD incidence was lower in paroxysmal and persistent AF groups compared to persistent AF.
  • Anticoagulant use was significantly lower in outpatients (10.8%) vs. inpatients (42.8%), and less frequent in persistent AF.

Conclusions:

  • Persistent AF is linked to an elevated risk of BCD.
  • Current BCD prevention in persistent AF patients is inadequate compared to less persistent forms.
  • Optimizing anticoagulant therapy is essential for reducing BCD in AF patients.
Abstract

Keywords:
anticoagulantsparoxysmal atrial fibrillationpersistent atrial fibrillationpreventionrisk factorsstroke

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