Preprint Article Version 1 This version is not peer-reviewed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

Subject Areas

brain vessel; ischemic stroke; non-valvular atrial fibrillation

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