HeartRhythm

APRIL 24, 2024

Abnormal conduction, structure and function of the atrial myocardium predispose to atrial fibrillation (AF) and stroke. Usefulness of electrocardiographic (ECG) indices in predicting stroke or systemic embolism (SSE) in patients undergoing cardioversion for AF remains unknown, especially in those at low estimated risk.

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Atrial Fibrillation Stroke Strokes Embolism 40

HeartRhythm

APRIL 30, 2024

AF detection rates with implantable cardiac monitoring (ICM) following cryptogenic stroke are >12% at 12 months. Similar results have been reported in some non-cryptogenic stroke cohorts. Real-world data has also shown a much lower rate of AF detection.

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Embolism Stroke Strokes Atrial Fibrillation 40

The New England Journal of Medicine

NOVEMBER 11, 2023

In a randomized trial involving patients with subclinical (typically asymptomatic) atrial fibrillation, apixaban led to a lower risk of stroke or systemic embolism than aspirin but a higher risk of major bleeding.

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Atrial Fibrillation Stroke Strokes Embolism 40

Stroke Journal

DECEMBER 21, 2023

Stroke, Volume 55, Issue 1 , Page 214-225, January 1, 2024. Nonvalvular atrial fibrillation is a common rhythm disorder of middle-aged to older adults that can cause ischemic strokes and systemic embolism.

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Atrial Fibrillation Research Stroke Strokes 40

HeartRhythm

APRIL 30, 2024

Clinical, imaging, and genetic markers in combinations might be useful for risk assessment of atrial fibrillation (AF) and related stroke/systemic embolsim (SSE).

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Atrial Fibrillation Genetic Markers Embolism Stroke 40

HeartRhythm

APRIL 30, 2024

Atrial fibrillation(AF) is associated with increased risk of embolic stroke and heart failure hospitalizations in patients with hypertrophic cardiomyopathy(HCM).

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Atrial Fibrillation Cardiomyopathy Embolism Heart Failure 40

Journal of the American Heart Association

JANUARY 31, 2024

BackgroundThere are limited data on the efficacy and safety of direct oral anticoagulants (DOACs) in patients with atrial fibrillation with significant tricuspid regurgitation (TR), which can lead to hepatic dysfunction and intestinal malabsorption. The median follow‐up duration was 2.4 1.06];P=0.11).

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Atrial Fibrillation Tricuspid Embolism Hemorrhage 40

Journal of the American Heart Association

FEBRUARY 14, 2024

BackgroundThe ABC‐stroke score is a risk scheme for prediction of stroke or systemic embolism (SE) in atrial fibrillation (AF). Having an annual ABC‐stroke risk >1% was associated with stroke/SE, stroke/SE/cardiovascular death, and all‐cause death (hazard ratio, 1.82 [95% CI, 1.44–2.21],

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Atrial Fibrillation Stroke Strokes Risk Factors 40

Journal of the American Heart Association

NOVEMBER 28, 2023

BackgroundAlthough older patients with atrial fibrillation are at heightened risk of thromboembolic and bleeding events, their optimal treatment choice remains uncertain.Methods and ResultsThis meta‐analysis was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses guidelines. prospero/.

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Atrial Fibrillation Embolism Stroke Strokes 40

HeartRhythm

APRIL 30, 2024

Cryoablation for atrial fibrillation is a widely used technique for pulmonary vein isolation. Known complications associated with cryoablation include tamponade, phrenic nerve injury, stroke, pulmonary embolism, pulmonary vein stenosis, and atrioesophageal fistulas.

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Atrial Fibrillation Pulmonary Hemorrhage Embolism 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page AWP199-AWP199, February 1, 2024. Background:The benefits of endovascular thrombectomy (EVT) for posterior cerebral artery (PCA) occlusion remain controversial, but intravenous thrombolysis (IVT) has proven benefit across nearly all ischemic stroke types.

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Atrial Fibrillation Thrombolysis Outcomes Embolism 40

Open Heart

MARCH 1, 2024

Background Amiodarone is an established treatment for atrial fibrillation (AF) but might interfere with the metabolism of apixaban or warfarin. Exploratory outcomes included ischaemic stroke/systemic embolism and all-cause/cardiovascular (CV) mortality. Rates of major bleeding were similar in the apixaban (4.3/100

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Atrial Fibrillation Embolism Outcomes Stroke 52

Circulation

JANUARY 24, 2024

The primary efficacy and safety outcomes were stroke or systemic embolic events (stroke/SEE) and major bleeding, respectively; secondary outcomes were ischemic stroke/SEE, intracranial hemorrhage, death, and the net clinical outcome (stroke/SEE, major bleeding, or death). interquartile range, 25.2–32.2)

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Atrial Fibrillation BMI Stroke Strokes 80

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page A66-A66, February 1, 2024. Introduction:Clinical practice guidelines recommend initiation of anticoagulation within 2 weeks after stroke due to atrial fibrillation (AF). Patients were randomized into one of 4 Arms: Day 3-4 from stroke onset, Day 6, Day 10, or Day 14.

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Atrial Fibrillation Stroke Strokes Hemorrhage 40

American College of Cardiology

SEPTEMBER 1, 2024

Asundexian was associated with a higher incidence of stroke or systemic embolism, but less major bleeding, compared with apixaban among patients with atrial fibrillation (AFib) who were at high risk for stroke, based on findings from the OCEANIC-AF trial presented at ESC Congress 2024 in London and simultaneously published in The New England Journal (..)

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AFIB Atrial Fibrillation Embolism Research 45

Open Heart

JANUARY 29, 2024

Aim To assess outcomes after cardiac surgery with biological valve replacement, valve repair or transcatheter aortic valve implantation (TAVI) in patients with atrial fibrillation (AF) in accordance with oral anticoagulant (OAC) treatment. Methods All patients in Sweden undergoing valvular intervention with AF were included.

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Atrial Fibrillation Aortic valve Embolism Aortic 52

All About Cardiovascular System and Disorders

FEBRUARY 19, 2024

In an earlier post on Embolic Stroke of Undetermined Source (ESUS) , I had mentioned about ARCADIA trial (AtRial Cardiopathy and Antithrombotic Drugs In Prevention After Cryptogenic Stroke) which was testing whether there is role for apixaban compared to aspirin for prevention of recurrent stroke in ESUS.

Stroke 52

Stroke Strokes Atrial Fibrillation Embolism 52

Journal of the American Heart Association

JANUARY 19, 2024

The primary efficacy and safety end points were stroke or systemic embolism and major bleeding (International Society on Thrombosis and Hemostasis definition), respectively. The stroke or systemic embolism rate was lower with edoxaban than placebo in both weight groups (≤45 kg: hazard ratio [HR], 0.36 [95% CI, 0.16–0.80];

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Atrial Fibrillation Embolism Thrombosis Stroke 40

Circulation

NOVEMBER 11, 2023

Background:Device-detected atrial fibrillation (AF) (also known as subclinical AF or atrial high-rate episodes) is a common finding in patients with an implanted cardiac rhythm device and is associated with an increased risk of ischemic stroke. Circulation, Ahead of Print. 0.92; high-quality evidence).

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Atrial Fibrillation Stroke Strokes Embolism 40

American College of Cardiology

JUNE 12, 2024

The baseline CHA2DS2-VASc score helped to identify patient with subclinical atrial fibrillation (SCAF) in whom the benefit for reducing the risk of stroke and systemic embolism (SE) with an oral anticoagulant (OAC) was greater than the risk of increased major bleeding, according to a subgroup analysis from the ARTESiA study presented at Heart Rhythm (..)

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Atrial Fibrillation Heart Rhythm Embolism Stroke 61

EMS 12-Lead

AUGUST 25, 2024

Examples of cardio embolic stroke etiology include: 1. Atrial Fibrillation 2. Cardiomyopathy with mural thrombus 3. Patent Foramen Ovale 4. Severe calcific Aortic (valve) Stenosis 5. Mechanical prosthetic valve Severe carotid artery stenosis is also implicated in embolic stroke.

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AFIB Embolism Atrial Fibrillation RN 59

Open Heart

JULY 1, 2024

Adjusted HRs for stroke or systemic embolism (SE) within 2 years of enrolment were calculated for each NOAC versus VKA. When selecting for ARISTOTLE criteria, apixaban users had significantly lower stroke/SE risk versus VKA (HR 0.57; 95% CI 0.34 to 0.94) while no reduction was observed with rivaroxaban (HR 0.98; 95% CI 0.68

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Atrial Fibrillation Embolism Stroke Strokes 52

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page AWP287-AWP287, February 1, 2024. Introduction:Patients diagnosed with ischemic stroke routinely undergo prolonged cardiac telemetry (PCT) to evaluate for occult atrial fibrillation (AF), but this approach is limited by high cost and low yield.

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Atrial Fibrillation Electrocardiogram Embolism Stroke 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page A64-A64, February 1, 2024. Background:Atrial cardiopathy is associated with incident ischemic stroke in the absence of clinical atrial fibrillation in prospective cohorts. Recurrent stroke occurred in 80 patients (annualized rate, 4.4%) and death in 54 patients. female, 21.1%

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Biomarkers Stroke Strokes Outcomes 40

HeartRhythm

APRIL 30, 2024

Left atrial appendage (LAA) thrombus is the primary cause of stroke and systemic embolism in atrial fibrillation (AF). Novel oral anticoagulants (NOACs) effectively reduce the prevalence of LAA thrombosis and stroke risk.

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Atrial Fibrillation Thrombosis Embolism Stroke 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page A97-A97, February 1, 2024. vs 19.6%, p=0.002) and a past-history of stroke/TIA (36% vs 25%, p<0.001) when compared to non-AC group. Chronic embolic (non-lacunar) infarcts on imaging were more common among AIS-despite-AC (34.5% Patients who had AIS-despite-AC were younger (76.8+11

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AFIB Stroke Strokes Embolism 40

DAIC

FEBRUARY 27, 2024

Bernard's Heart & Vascular Center , Jonesboro, Arkansas) mark a significant milestone in the pursuit of innovative solutions for non-valvular atrial fibrillation (NVAF) treatment.  Patients with NVAF deemed appropriate for LAAX to reduce the risk of stroke and systemic embolism, will participate in this research effort.

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Atrial Fibrillation Innovation AFIB Pharmacology 105

ECG Cases

SEPTEMBER 12, 2023

The post ECG Cases 45 ECG in Weakness and Neurological Symptoms appeared first on Emergency Medicine Cases.

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Dysrhythmia Atrial Fibrillation Embolism Ischemia 115

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page A92-A92, February 1, 2024. Background:The AHA/ASA 2021 Secondary Stroke Prevention Guideline recommends a joint decision by neurology and cardiology for patent foramen ovale (PFO) closure. More patients in BHT had a RoPE score>7 (77 [71.3%] vs 26 [39.4%] p <0.001).

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Stroke Strokes Atrial Fibrillation Risk Factors 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page AWP252-AWP252, February 1, 2024. Introduction:Migraine is a risk factor for cerebral ischemic stroke. However, it is not known if migraine is a risk factor for retinal stroke (central retinal artery occlusion, CRAO).Methods:We 1.38) and embolic ischemic stroke (aHR 1.15 (95% CI: 1.08-1.22).Conclusions:In

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Stroke Strokes Document Kidney Disease 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page ATMP66-ATMP66, February 1, 2024. Introduction:Carotid artery webs are a rare cause of embolic stroke of undetermined source, especially among the young without conventional risk factors. However, despite its detriment, the rate of stroke recurrence is not well studied.

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Stroke Strokes Atrial Fibrillation Embolism 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page ANS8-ANS8, February 1, 2024. Background:Extended cardiac rhythm monitoring increases the odds of detecting paroxysmal atrial fibrillation (PAF), an important finding in the etiopathogenic evaluation of patients with ischemic stroke.

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Nursing Stroke Strokes Atrial Fibrillation 40

Frontiers in Cardiovascular Medicine

JULY 22, 2024

BackgroundPercutaneous left atrial appendage closure (LAAC) serves as an alternative prophylactic strategy for patients with non-valvular atrial fibrillation (AF) who cannot undergo anti-coagulation therapy. The pericardial effusion or tamponade likely resulted from damage to the atrial appendage during LAAC device insertion.

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Ablation Thrombosis Embolism Atrial Fibrillation 59

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionHere, we describe a patient in whom ischemic stroke was caused by compression of the Internal Carotid Artery (ICA) by a Pseudoaneurysm (PSA) of the External Carotid Artery (ECA) after Gun Shot injury.

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Aneurysm Stroke Strokes Embolism 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page AWP19-AWP19, February 1, 2024. Objective:The presence of left atrial thrombus (LAT) in acute stroke patients with nonvalvular atrial fibrillation (NVAF) is the major embolic source for recurrent stroke.

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Stroke Strokes Atrial Fibrillation Embolism 40

All About Cardiovascular System and Disorders

APRIL 19, 2024

A potentially serious drug interaction between diltiazem and apixaban or rivaroxaban has been reported in US Medicare patients taking these drugs together for atrial fibrillation. The study compared serious bleeding risk for new users of apixaban or rivaroxaban with atrial fibrillation treated with diltiazem or metoprolol.

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Atrial Fibrillation Medicare Embolism Hospital 40

Circulation: Cardiovascular Quality & Outcomes

JANUARY 8, 2024

Patent foramen ovale (PFO) closure is indicated to reduce recurrent stroke but has been proposed for other indications, including migraine, transient ischemic attack, and diving decompression illness. underwent closure for stroke/systemic embolism, 10.2% of patients had atrial fibrillation at baseline; and 11.9%

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Atrial Fibrillation Embolism Ischemia Stroke 40