Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Investigation of Brain Vascular Territories in Stroke Patients Detected Non-Valve Atrial Fibrillation as an Etiological Factor

Version 1 : Received: 31 March 2018 / Approved: 3 April 2018 / Online: 3 April 2018 (11:07:39 CEST)

How to cite: Karaoglan, M.; Demir, S. Investigation of Brain Vascular Territories in Stroke Patients Detected Non-Valve Atrial Fibrillation as an Etiological Factor. Preprints 2018, 2018040037 (doi: 10.20944/preprints201804.0037.v1). Karaoglan, M.; Demir, S. Investigation of Brain Vascular Territories in Stroke Patients Detected Non-Valve Atrial Fibrillation as an Etiological Factor. Preprints 2018, 2018040037 (doi: 10.20944/preprints201804.0037.v1).

Abstract

Objective: It was aimed to investigate the cerebral vascular territories in stroke patients with NVAF as an etiologic factor. Material and Methods: A total of 104 patients who were referred to our hospital between January 2015 and September 2016, who were over 55 years of age, identified or documented as having a standard ECG or Holter ECG record on their medical history, and diagnosed with stroke were included. Our study was designed as a retrospective analysis of prospective data. Detailed history, physical examination and electrocardiography (ECG) evaluations of the patients were performed. Descriptive statistics were used in the detection of findings, and t-test, Pearson-square test and Fisher's exact test were used for differences analysis. Results: 53.8% (N = 56) of the patients were male and 46.2% (N = 48) were female. The mean age was 73.5. MCA was the most common site of vascular involvement in NVAF-dependent strokes. In MCA vascular territory, ischemic infarcts were detected most frequently in the upper and lower divisions. SCA and PCA followed MCA. Approximately 64% of the NVAF-related strokes were anterior circulation infarction (ASE) and 22% were posterior circulation infarct (PSE). There was a significant difference in age and past stroke history factors in favor of ASE (p<0.05). There was no significant difference between ASE and PSE in HT, cardiac history and DM factors (p>0.05). Conclusion: It was emphasized that the area of the vessel that underwent ischemia in the acutely displayed infarcts and the etiological factor for this vessel area could be predicted

Keywords

brain vessel; ischemic stroke; non-valvular atrial fibrillation

Subject

MEDICINE & PHARMACOLOGY, Clinical Neurology

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