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Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
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[Stroke as the first manifestation of atrial fibrillation]

Paweł Warmus1, Monika Adamczyk-Sowa1

  • 1Katedra i Klinika Neurologii, Wydział Lekarski z Oddziałem Lekarsko- Dentystycznym w Zabrzu, Śląskiego Uniwersytetu, Medycznego w Katowicach, Zabrze, Polska.

Wiadomosci Lekarskie (Warsaw, Poland : 1960)
|February 10, 2019
PubMed

Insights

Atrial fibrillation is a major cause of ischemic stroke, particularly in older adults. Early detection and long-term monitoring are crucial for timely anticoagulant therapy and improved patient outcomes.

Area of Science:

  • Cardiology
  • Neurology
  • Geriatrics

Background:

  • Atrial fibrillation is a leading cause of ischemic stroke, accounting for a significant portion of cardiogenic strokes.
  • Undiagnosed atrial fibrillation, including paroxysmal and de novo forms, contributes to cryptogenic strokes.
  • Population aging and improved diagnostics increase the prevalence and detection of atrial fibrillation.

Purpose of the Study:

  • To emphasize the critical importance of diagnosing atrial fibrillation, especially de novo cases.
  • To highlight the link between atrial fibrillation and increased stroke recurrence, mortality, and hospitalization.
  • To advocate for enhanced diagnostic strategies for atrial fibrillation detection.

Main Methods:

  • Review of existing literature on atrial fibrillation and ischemic stroke.
  • Discussion of diagnostic tools, including Holter ECG monitoring.
  • Emphasis on the value of long-term Holter ECG monitoring for detecting intermittent atrial fibrillation.

Main Results:

  • Atrial fibrillation is a significant risk factor for ischemic stroke with poorer prognosis.
  • A substantial percentage of atrial fibrillation cases remain undiagnosed.
  • Long-term Holter monitoring is more effective than 24-h monitoring for detecting atrial fibrillation.

Conclusions:

  • Timely diagnosis of atrial fibrillation is essential for initiating anticoagulant therapy (e.g., vitamin K antagonists, NOACs).
  • Effective management of atrial fibrillation can mitigate stroke risk and improve patient outcomes.
  • The study underscores the need for comprehensive diagnostic approaches to identify atrial fibrillation in stroke patients.

Keywords:
treatmentprevalenceprognosisrisk factors

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