Preventing the rise of atrial fibrillation-related stroke in populations: a call to action.

@article{Kelly2014PreventingTR,
  title={Preventing the rise of atrial fibrillation-related stroke in populations: a call to action.},
  author={Peter J. Kelly},
  journal={Circulation},
  year={2014},
  volume={130 15},
  pages={
          1221-2
        },
  url={https://api.semanticscholar.org/CorpusID:17778472}
}
Data indicate that AF incidence is increasing, leading to projections of an increase in AF prevalence in the USA by at least 2.5-fold by 20503,4, and the consequences of this increase on the frequency of AF-related stroke will depend on the effectiveness of AF detection and implementation of prevention with anticoagulant medications and behaviours.
View on PubMed
ahajournals.org
8 Citations
Background Citations
4

8 Citations

Rates and Determinants of 5-Year Outcomes After Atrial Fibrillation–Related Stroke: A Population Study

AF-stroke is associated with considerable long-term morbidity, fatality, stroke recurrence, and nursing home requirement, and adequately resourced national AF strategies to improve AF detection and prevention are needed.

Bucindolol hydrochloride in atrial fibrillation and concomitant heart failure

Findings that support a pharmacogenetically modulated effect of bucindolol in patients with polymorphisms in β1-adrenergic receptor are explored and an overview of ongoing studies are provided.

Underuse of Oral Anticoagulants in Patients With Ischemic Stroke and Atrial Fibrillation in China.

Global Burden of Thrombosis: Epidemiologic Aspects.

Public health efforts to measure disease burden and increase awareness of symptoms and risk factors need to improve, particularly in low- and middle-income regions to address this leading cause of morbidity and mortality.

Embolic Myocardial Infarction as a Consequence of Atrial Fibrillation: A Prevailing Disease of the Future.

Acute myocardial infarction (AMI) is a major cause of death and disability worldwide. When spontaneous AMI occurs, there is a >90% chance that the underlying etiology is primarily due to coronary…

eHealth in cardiovascular medicine: A clinical update

Demographic changes, progress in medicine technology and regional problems in providing healthcare to low density populations are posing great challenges to our healthcare systems. Rapid progress in…

Characterizing Beliefs about Stroke and Walking for Exercise among Seniors from Four Racial/Ethnic Minority Communities

Stroke education could potentially increase cultural relevancy and impact by addressing such differences in health beliefs as well as perceived benefits and barriers to walking for exercise that vary between different racial/ethnic groups.

eHealth and telemedicine: current situation and future challenges

The present work presents a meta-analyses of the immune system’s response to microelectronics and microsystem technology in the context of healthcare up to the present, which shows clear patterns of decline in the use of these technologies in the past 50 years.

17 References

Atrial fibrillation: profile and burden of an evolving epidemic in the 21st century.

Epidemiology of ischemic stroke from atrial fibrillation in Dijon, France, from 1985 to 2006

The decrease in the incidence of cardioembolic/atrial fibrillation stroke in this study was probably due to a slight increase in the utilization of antithrombotic therapy in patients with atrialfibrillation, but the use of such therapies will have to increase further because of the expected aging of the population in coming years.

Stroke Associated with Atrial Fibrillation – Incidence and Early Outcomes in the North Dublin Population Stroke Study

AF-associated stroke occurred in one third of all patients and was associated with a distinct profile of recurrent, severe and disabling stroke, and _targeted strategies to increase anticoagulation rates may provide a substantial benefit to prevent severe disabling stroke at a population level.

High Prevalence of Atrial Fibrillation Among Patients With Ischemic Stroke

Access to nationwide register data shows that AF is more common among patients with ischemic stroke than those previously reported, and the likelihood for underlying AF was strongly correlated to the CHA2DS2-VASC score, which is a point based scheme for assessment of stroke risk but which also predicts likelihood of AF.

High Prevalence of Atrial Fibrillation Among Patients With Ischemic Stroke

The aim was to determine the nationwide prevalence of AF among patients with ischemic stroke, as well as their use of oral anticoagulation, and to identify and offer protection to individuals at risk of stroke.

Age-Specific Incidence, Outcome, Cost, and Projected Future Burden of Atrial Fibrillation–Related Embolic Vascular Events: A Population-Based Study

Numbers of AF-related incident ischemic strokes at age ≥80 years have trebled over the last 25 years, despite the introduction of anticoagulants, and are projected to treble again by 2050, along with the numbers of systemic emboli.

Time Trends of Ischemic Stroke Incidence and Mortality in Patients Diagnosed With First Atrial Fibrillation in 1980 to 2000: Report of a Community-Based Study

Post-AF ischemic stroke incidence decreased significantly from 1980 to 2000, during which time a substantial increase in the use of antithrombotic therapy and reduction of systolic blood pressure was evident, and the relative mortality risk of stroke had not improved over time.

Prevalence of diagnosed atrial fibrillation in adults: national implications for rhythm management and stroke prevention: the AnTicoagulation and Risk Factors in Atrial Fibrillation (ATRIA) Study.

It is confirmed that atrial fibrillation is common among older adults and provides a contemporary basis for estimates of prevalence in the United States.

The impact of atrial fibrillation on the cost of stroke: the berlin acute stroke study.

Medical care for stroke patients with AF is associated with higher costs compared with those without AF; this is explained mainly by confounding factors and driven essentially by a significant difference in acute hospitalization costs.

Editorial comment--Stroke incidence studies one step closer to the elusive gold standard?

Stroke should be studied in a population-wide context because a large proportion of the burden of care for stroke is borne by health services outside the hospital sector and by families of affected…

Related Papers

Showing 1 through 3 of 0 Related Papers