Arrhythmias and stroke


Authors: doc. MUDr. Petr Heinc, Ph.D.;  MUDr. František Kováčik;  MUDr. Marie Lazárová;  MUDr. Jan Přeček;  MUDr. Aleš Smékal;  Doc. MUDr. Miloš Táborský, CSc.;  Fesc;  Mba
Authors‘ workplace: I. interní klinika – kardiologická FN Olomouc petr. heinc@fnol. cz
Published in: Kardiol Rev Int Med 2013, 15(1): 33-36
Category:

Overview

Significant arrhythmias occur in approximately 25% of patients hospitalized for acute stroke, their incidence is highest in the first 24 hours and decreases during the first three days. It is assumed that arrhythmias are primary of the neurogenic cause and obviously are independently associated with older age and with greater neurological disability, which leads to a corresponding release of transmitters into the circulation. Atrial fibrillation is the most common arrhythmia associated with stroke and the follow-embolic etiolology is the cause of about 20% of all stroke. A patient with a history of atrial fibrillation who remains in tromboembolic risk despite of any antiarrhythmic intervention must be anticoagulated by Warfarin or novel anticoagulants according to risk stratification (i.e. CHA2DS2Vasc score).

Keywords:
stroke – arrhythmias – atrial fibrillation – CHA2DS2Vasc score


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Labels
Paediatric cardiology Cardiac surgery Cardiology
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