Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 송태진 | * |
dc.date.accessioned | 2022-02-14T16:31:02Z | - |
dc.date.available | 2022-02-14T16:31:02Z | - |
dc.date.issued | 2021 | * |
dc.identifier.issn | 1664-2295 | * |
dc.identifier.other | OAK-31001 | * |
dc.identifier.uri | https://dspace.ewha.ac.kr/handle/2015.oak/260451 | - |
dc.description.abstract | Background: Ischemic stroke with atrial fibrillation (AF) may recur despite appropriate treatment. It may be AF-related or AF-unrelated. We compared the factors associated with AF-related and AF-unrelated recurrences among ischemic stroke patients with AF.Methods: Patients with ischemic stroke and AF were enrolled from 11 centers in Korea. Ischemic stroke recurrence was classified as AF-related if the lesion pattern was compatible with cardioembolism without significant stenosis or as AF-unrelated if the lesion was more likely due to small vessel disease or arterial stenosis. Factors associated with stroke recurrence (AF-related and AF-unrelated) were investigated.Results: Among the 2,239 patients, 115 (5.1%) experienced recurrence (75 AF-related and 40 AF-unrelated). Factors independently associated with any stroke recurrence included AF diagnosed before stroke, small subcortical infarctions, and small scattered lesions in a single vascular territory. Type of AF was associated with the type of stroke recurrence, with persistent AF being associated with AF-related stroke [hazard ratio (HR) = 2.94, 95% confidence interval (CI) 1.69-5.26; p < 0.001]. By contrast, paroxysmal AF (HR = 3.76, 95% CI 1.56-9.04; p = 0.003), AF diagnosed before stroke (HR = 2.38, 95% CI 1.19-4.55; p = 0.014), small scattered lesions in a single vascular territory (reference: corticosubcortical lesion, HR = 3.19, 95% CI 1.18-8.63; p = 0.022), and the use of antiplatelet agents (HR = 2.11, 95% CI 1.11-4.03; p = 0.024) were independently associated with AF-unrelated stroke.Conclusion: Persistent AF was more associated with AF-related stroke recurrence, whereas paroxysmal AF was more associated with AF-unrelated stroke recurrence. A scattered lesion in a single vascular territory may predict AF-unrelated stroke recurrence. | * |
dc.language | English | * |
dc.publisher | FRONTIERS MEDIA SA | * |
dc.subject | atrial fibrillation | * |
dc.subject | cardioembolic brain infarction | * |
dc.subject | recurrence | * |
dc.subject | stroke | * |
dc.subject | stroke mechanism | * |
dc.title | Atrial Fibrillation Related and Unrelated Stroke Recurrence Among Ischemic Stroke Patients With Atrial Fibrillation | * |
dc.type | Article | * |
dc.relation.volume | 12 | * |
dc.relation.index | SCIE | * |
dc.relation.index | SCOPUS | * |
dc.relation.journaltitle | FRONTIERS IN NEUROLOGY | * |
dc.identifier.doi | 10.3389/fneur.2021.744607 | * |
dc.identifier.wosid | WOS:000726177400001 | * |
dc.author.google | Kim, Bum Joon | * |
dc.author.google | Hwang, Yang-Ha | * |
dc.author.google | Park, Man-Seok | * |
dc.author.google | Kim, Joon-Tae | * |
dc.author.google | Choi, Kang-Ho | * |
dc.author.google | Jung, Jin-Man | * |
dc.author.google | Yu, Sungwook | * |
dc.author.google | Kim, Chi Kyung | * |
dc.author.google | Oh, Kyungmi | * |
dc.author.google | Song, Tae-Jin | * |
dc.author.google | Kim, Yong-Jae | * |
dc.author.google | Park, Kwang-Yeol | * |
dc.author.google | Kim, Jeong-Min | * |
dc.author.google | Park, Jong-Ho | * |
dc.author.google | Choi, Jay Chol | * |
dc.author.google | Chung, Jong-Won | * |
dc.author.google | Bang, Oh Young | * |
dc.author.google | Kim, Gyeong-Moon | * |
dc.author.google | Heo, Sung Hyuk | * |
dc.author.google | Seo, Woo-Keun | * |
dc.contributor.scopusid | 송태진(55507164200) | * |
dc.date.modifydate | 20240304123954 | * |