Evaluation of Risk Factors in Elderly Patients with Cerebral Embolism Due to Nonvalvular Atrial Fibrillation
スポンサーリンク
概要
- 論文の詳細を見る
<B>Background:</B> Atrial fibrillation (AF) is a major risk factor for ischemic stroke. In elderly population, the incidence of cerebral embolism (CE) caused by AF tends to be increasing. In this study, we assessed the distribution and the most frequent factor in elderly patients with an embolic event due to nonvalvular AF (NVAF). <B>Methods:</B> Among 435 consecutive patients with cardiogenic embolus who were referred to Stroke Care Unit at our institute, 301 patients were diagnosed as CE caused by NVAF. Of the patients, 188 patients were 75 years old or more. Patients were excluded when AF episodes were not documented on electrocardiographic monitoring. The CHADS2 score was evaluated for each of the 188 patients. <B>Results:</B> In 75 years old or more, the CHADS2 score was 1 in 29 (15%), 2 in 62 (33%). Among patients with a CHADS2 score of 2, a combination of hypertension and age >75 years was the most frequent pattern (85%). <B>Conclusions:</B> The most frequent factor was hypertension in patients 75 years old or more with CE due to NVAF. The management of blood pressure is very important for preventing cerebral embolic events in elderly population with NVAF.
著者
-
MERA Hisaaki
The Second Department of Internal Medicine, Kyorin University School of Medicine
-
MIYAKOSHI Mutsumi
The Second Department of Internal Medicine, Kyorin University School of Medicine
-
MIWA Yosuke
The Second Department of Internal Medicine, Kyorin University School of Medicine
-
TSUKADA Takehiro
The Second Department of Internal Medicine, Kyorin University School of Medicine
-
Ikeda Takanori
Toho University School of Medicine, Ohashi Hospital, Third Department of Internal Medicine
-
Yoshino Hideaki
The Second Department Of Internal Medicine Kyorin University School Of Medicine
-
Yoshino Hideaki
The Second Department of Internal Medicine, Kyorin University
-
Nishiyama Kazutoshi
Stroke Care Unit, Kyorin University Hospital
-
Hoshida Kyoko
The Second Department of Internal Medicine, Kyorin University
-
Sato Toshiaki
The Second Department of Internal Medicine, Kyorin University
-
Shiokawa Yoshiaki
Stroke Care Unit, Kyorin University Hospital
-
Miwa Yosuke
The Second Department of Internal Medicine, Kyorin University
-
Ikeda Takanori
Toho University Medical Center
-
Tsukada Takehiro
The Second Department of Internal Medicine, Kyorin University
-
Miyakoshi Mutsumi
The Second Department of Internal Medicine, Kyorin University
-
Mera Hisaaki
The Second Department of Internal Medicine, Kyorin University
関連論文
- Effects of Intravenous Nifekalant as a Lifesaving Drug for Severe Ventricular Tachyarrhythmias Complicating Acute Coronary Syndrome
- 1 Three-Year Outcome of the PRospective Evaluation of VENtricular Tachyarrhythmic Events and Sudden Cardiac Death in Patients with Left Ventricular Dysfunction (PREVENT-SCD) Study(Late Breaking Clinical Trials I,The 73rd Annual Scientific Meeting of The J
- Assessment of Atrioventricular Nodal Electrophysiological Characteristics After Radiofrequency Catherter Ablation of the Slow Pathway in Atrioventricular Nodal Reentrant Tachycardia : 3-Month Follow up
- PE-491 Assessment of Circadian Variation in the Occurrence of Out-of-Hospital Cardiopulmonary Arrest with a Large Number of Japanese Patients(PE082,Ventricular Arrhythmia (Clinical/Diagnosis/Treatment) (A),Poster Session (English),The 73rd Annual Scientif
- DPJ-038 Physiological Pacing Site in the Right Ventricle : Alternative Mid-Septal Pacing is Superior Compered to Conventional Apical Pacing(DPJ07,Arrhythmia, Others (Clinical/Diagnosis/Treatment) 2 (A),Digital Poster Session (Japanese),The 73rd Annual Sci
- OE-372 Heart Rate Turbulence as a Predictor of Cardiac Mortality and Arrhythmic Events in Patients with Ischemic or Nonischemic Dilated Cardiomyopathy(OE63,ECG/Body Surface Potential Mapping/Holter 1 (A),Oral Presentation (English),The 73rd Annual Scienti
- OE-243 Pathophysiology of the J Wave in Patients with Idiopathic Ventricular Fibrillation : Repolarization Abnormalities versus Conduction Disturbances(OE41,Ventricular Arrhythmia, Treatment (A),Oral Presentation (English),The 73rd Annual Scientific Meeti
- OE-120 Time-Domain T -Wave Alternans Measured from Holter Electrocardiograms Predicts Cardiac Mortality in Patients with Left Ventricular Dysfunction : A Prospective Study(OE21,ECG/Body Surface Potential Mapping/Holter 2 (A),Oral Presentation (English),Th
- PJ-771 J Waves on 12-Lead Electrocardiogram : Comparison between Patients with Syncope and Healthy Subjects(Arrhythmia, diagnosis / Pathophysiology / EPS(11)(A),Poster Session(Japanese),The 72nd Annual Scientific Meeting of the Japanese Circulation Societ
- PJ-742 The score of the T wave inversion was useful to evaluate course of acute pulmonary embolism(APE). : Seven University Collaboration(Pulmonary circulation(04)(H),Poster Session(Japanese),The 72nd Annual Scientific Meeting of the Japanese Circulation