Clinical Characteristics in Transient Ischemic Attack Patients with Atrial Fibrillation
スポンサーリンク
概要
- 論文の詳細を見る
Objective The aim of this study was to clarify the characteristics of transient ischemic attack (TIA) patients with atrial fibrillation (AF) compared to those without. Methods We divided 67 TIA patients with left hemispheric involvement into two groups; patients with AF (AF group) and without AF (Non-AF group) and compared the clinical characteristics between the two groups. Patients AF group included 12 patients (73.0±9.7 years old) and the Non-AF group 55 patients (64.1±9.8 years old). Results Clinically, arterial disease was less frequently seen in the AF group than in the Non-AF group (17% vs 53%, p=0.028). No significant differences were observed between the two groups in the duration (<1 hour; AF vs Non AF group: 50% vs 32%) or number of TIAs (more than 1; 17% vs 37%), use of anticoagulation or antiplatelet at time of symptomonset (34% vs 14%), past history of stroke and TIA (58% vs 38%) and ischemic heart diseases (8% vs 13%), and risk factors for atherosclerosis including hypertension (42% vs 71%), diabetes mellitus (17% vs 31%), hyperlipidemia (17% vs 47%), smoking (50% vs 51%) and other emboligenic cardiac diseases except for AF (0% vs 4%). Aphasia was observed more frequently in the AF group than in the Non-AF group (67% vs 20%, p=0.003), whereas, hemiparesis without aphasia was seen less frequently in the AF group than in the Non-AF group (17% vs 55%, p=0.025). Conclusion TIA patients with AF are more likely than those without AF to exhibit a major hemispheric syndrome, such as aphasia.(Internal Medicine 42: 255-258, 2003)
- 社団法人 日本内科学会の論文
- 2003-03-01
著者
-
Minematsu Kazuo
Cerebrovascular Division Department Of Internal Medicine National Cardiovascular Center
-
Wada Kuniyasu
Cerebrovascular Division Department Of Medicine National Cardiovascular Center
-
Kimura Kazumi
Cerebrovascular Division Department Of Medicine National Cardiovascular Center
-
Yonemura Kiminobu
Cerebrovascular Division Department Of Medicine National Cardiovascular Center
-
Nakajima Makoto
Cerebrovascular Division Department Of Medicine National Cardiovascular Center
関連論文
- Genetic Variations of CYP2C9 in 724 Japanese Individuals and Their Impact on the Antihypertensive Effects of Losartan
- Nationwide survey of antihypertensive treatment for acute intracerebral hemorrhage in Japan
- Transoral Carotid Ultrasonography for Evaluating Internal Carotid Artery Occlusion
- Clinical Features of Transient Ischemic Attack Associated with Atrial Fibrillation : Analysis of 1084 TIA Patients
- Hospital-based Prospective Registration of Acute Ischemic Stroke and Transient Ischemic Attack in Japan
- Contrast Transcranial Doppler Examination in the Acute Phase of a Paradoxical Brain Embolism Associated With Pulmonary Thromboembolism
- Is Stroke a Paradoxical Embolism in Patients with Patent Foramen Ovale?
- Clinical and Neuroradiological Analysis of Thrombotic and Embolic Cerebral Infarction : SYMPOSIUM ON CLINICAL ASPECTS OF THROMBOEMBOLISM
- EFFECTS OF CAPTOPRIL (CP) ON THE SYSTEMIC, CEREBRAL AND RENAL HEMODYNAMICS OF HYPERTENSIVE PATIENTS : Hypertension (I) : 46th Annual Scientific Meeting, Japanese Circulation Society
- Repeated Hypotensive Episodes with Fluctuating Symptoms in a Patient with Acute Pontomedullary Infarction
- Cardiac Papillary Fibroelastoma as a Cause of Embolic Stroke: Ultrasound and Histopathological Characteristics
- Polymorphisms in Vitamin K-Dependent γ-Carboxylation-Related Genes Influence Interindividual Variability in Plasma Protein C and Protein S Activities in the General Population
- Differences in Clinical Features and Computed Tomographic Findings between Embolic and Non-Embolic Acute Ischemic Stroke : A Quantitative Differential Diagnosis
- [1-^C]Octanoate as a PET Tracer for Studying Ischemic Stroke : Evaluation in a Canine Model of Thromboembolic Stroke with Positron Emission Tomography
- Optimal Intensity of International Normalized Ratio in Warfarin Therapy for Secondary Prevention of Stroke in Patients with Non-valvular Atrial Fibrillation
- Preliminary evaluation of [1-^C]octanoate as a PET tracer for studying cerebral ischemia: A PET study in rat and canine models of focal cerebral ischemia
- OJ-048 How to Manage Warfarin Treatment at the Time of Dental Extraction : A Questionnaire Study(Antithrombofic Ttherapy (H) : OJ6)(Oral Presentation (Japanese))
- EFFECTS OF A CALCIUM ANTAGONIST AND AN ANGIOTENSIN CONVERTING ENZYME INHIBITOR ON BLOOD PRESSURE AND CEREBRAL BLOOD FLOW IN PATIENTS WITH AND WITHOUT CEREBROVASCULAR DISORDERS : PROGRESS IN ANTI-HYPERTENSIVE VASODILATIVE THERAPY
- Clinical Characteristics in Transient Ischemic Attack Patients with Atrial Fibrillation
- EBM and Current State in Japan of Thrombolytic Therapy for Acute Ischemic Stroke