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Atrial Fibrillation - Crossref

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Last Updated: 28 June 2022

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Managing stroke risk in patients with atrial fibrillation: a cross-sectional analysis of socio-demographic inequalities in a London borough

Abstract Background: Stroke prevention is vital for patients with atrial fibrillation, but some patients receive sub-optimal care. We looked at those with a confirmed AF diagnosis and socioeconomic determinants of anticoagulation therapy. Methods A cross-sectional scheme was used to analyze records from all general practices in one London borough. Patients with a high SRS from Black and Mixed/Multiple ethnic groups and aged 18-19-74 years were less likely to be prescribed anticoagulation. Conclusions In patients with AF, there are signs of age and ethnicity in anticoagulation therapy for stroke prevention.

Source link: https://doi.org/10.1093/pubmed/fdac004


Comparison of co-administration of amiodarone and rivaroxaban to co-administration of dronedarone and rivaroxaban for hemorrhage risks after atrial fibrillation ablation

Purpose: The aim of this paper is to investigate whether the co-administration of antiarrhythmic dronedarone and anticoagulant rivaroxaban would raise the risks of hemorrhage after atrial fibrillation ablation. Patients in two groups were encouraged to obtain a sample with balanced inter-group covariates. The CRNMB rate following AF ablation was significantly higher in the D-R group than in the A-R group, with similar baseline characteristics and ablation characteristics after PSM, and no major hemorrhages were found in both groups. In the sinus rhythm maintenance rate between the D-R group and the A-R group, no significant difference was made. Conclusions Compared to co-administration of amiodarone and rivaroxaban, dronedarone and rivaroxaban raises the risk of CRNMB, but not rise the risk of major hemorrhages in the waiting period after AF ablation.

Source link: https://doi.org/10.1007/s10840-022-01128-w


Recent-onset atrial fibrillation: a study exploring the elements of Virchow’s triad after cardioversion

The goal was to investigate the effects of cardioversion and short-lived AF on left atrial hemodynamics, inflammation, coagulative, and cardiac biomarkers, as well as the relationship between LA functional recovery and the presence of a prior history of AF. Patients were referred to CV within 48 hours after AF onset were prospectively included. On magnetic resonance imaging, the presence of persistent white matter hyperintensities was found in association with biomarker values. Results Forty-three patients, aged 55-years, were included, with median CHA 2 DS 2 -VASc score 1 included. In patients with WMH who had a fever, hs-cTNT, and PTf1+2 levels were on the rise, compared to those without. The LAEF was significantly lower in patients with a history of AF compared to those without at 7 u201310 days than those without. Conclusion Despite the fact that LAEF stunned patients with a prior history of AF versus those without, the LAEF remained substantially lower in patients with a prior history of AF compared to those without.

Source link: https://doi.org/10.1007/s10840-021-01078-9


Perioperative coronary artery spasms in patients undergoing catheter ablation of atrial fibrillation

Although coronary artery spasms during or post ablation procedures have been described as a rare complication in some case studies, the prevalence and characteristics of this disease have not been fully elucidated. Methods A total of 2913 consecutive patients with AF catheter ablation were enrolled. In the inferior leads, eight out of the nine patients had STE in the infant leads. The STE occurred in 7 patients after the sheath was pulled out of the left atrium in 1, and 2 h after the ablation procedure in 1. No signs of an air embolization on the emergent coronary angiography were found in Six patients with definite angiographic CAS. Patients with CAS had a higher risk of a smoking habit, smaller left atrial diameter, and a lower CHADS 2 score than those without.

Source link: https://doi.org/10.1007/s10840-021-01089-6


The ABC-Stroke Score Refines Stroke Risk Stratification in Patients With Atrial Fibrillation at the Emergency Department

Methods and Results The results of the biomarker-based ABC-stroke score and the clinically based CHA 2 DS 2 -VASc score for stroke risk assessment were prospectively assessed in a consecutive series of 2,108 patients with acute symptomatic atrial fibrillation in a tertiary care emergency department's acute symptomatic atrial fibrillation. According to the CHA 2 DS 2 -VASc score, patients with moderate stroke risk also improved risk stratification in patients with moderate stroke risk, although there are no recommendations on anticoagulation therapy. The ABC-stroke result was superior to the guideline-recommended CHA 2 DS 2 -VASc rating in predicting stroke risk and improved risk stratification of patients classified as moderate risk by the CHA 2 DS 2 –VASc rating, potentially easing treatment decision-making.

Source link: https://doi.org/10.3389/fmed.2022.830580


Roles of Microembolus and Plasma D-dimer in Evaluating the Warfarin Anticoagulant Therapy Efficacies for Patients with Atrial Fibrillation

Four AF patients were treated with aspirin antiplatelet therapy, and forty AF patients were treated with warfarin anticoagulant therapy. Group ASP had 21 and 17 cases of positive microemboli before and after treatment, respectively; there was no significant difference in the detection rate of microemboli before and after treatment; Group WAR had 14 and 5 cases with positive microemboli before and after treatment, respectively; and the detection rate of microemboli was significantly reduced after treatment; and microemboli was greatly reduced after treatment.

Source link: https://doi.org/10.1532/hsf.2197


The Effect of Aspirin as an Irreversible COX1 Inhibitor in Preventing Non-Valvular Atrial Fibrillation After Coronary Bypass Surgery

Background: We investigated whether aspirin use in the preoperative period would prevent non-valvular atrial fibrillation, the most common rhythm disorder in the postoperative period. An increase in hospital costs as a result of increased drug use and long-term hospitalization may lead to an increase in hospital costs. Methods: More than 1000 coronary artery bypass grafting procedures were performed between January 2011 and Nov 2018. Although patients underwent aspirin therapy prior to the surgery, the other group did not receive any anti-aggregant therapy. In 16 patients in a pharmaceutical group, non-valvular atrial fibrillation was present, but this rate was 24,3 % in a medication-free group three months after surgery, with 68 patients in a medication-free group 3 month after surgery. Conclusions: According to the findings of our investigation, we found that the aspirin used in the preoperative period would prevent non-valvular atrial fibrillation in the postoperative period.

Source link: https://doi.org/10.1532/hsf.2111


Plasma miRNA-155 Levels Predict Atrial Fibrillation Recurrence after Cardioversion

The aim of our research is to determine whether plasma miRNA-155 levels have a connection with AF recurrence. Methods: A total of 110 patients with AF were tested, with all of whom had successful cardioversion. By quantitative reverse transcription u2013polymerase chain reaction, we determined the expression of plasma miRNA-155 in the recurrent group and the nonrecurrent group. By using echocardiography, the left atrial diameter and left ventricular ejection fractions of all patients were determined. miRNA-155 was significantly upregulated in the recurrent group when compared to the nonrecurrent group, according to our RT-PCR analysis. Using ROC curve analysis, the possibility of predicting AF recurrence for plasma miRNA-155 was clarified. Conclusions: Our results showed that plasma miRNA-155 could be able to determine AF recurrence after cardioversion.

Source link: https://doi.org/10.1532/hsf.2281


Comparison of SYNTAX Score I and SYNTAX Score II for Predicting Postoperative Atrial Fibrillation in Patients Undergoing Coronary Artery Bypass Graft Surgery

SYNTAX score II is correlated with cardiac arrest revascularization results in patients. In patients undergoing CABG, we investigated the connection between SSII and postoperative atrial fibrillation. Methods: The records of 461 consecutive patients who underwent elective isolated CABG were retrospectively reviewed. Patients with and without POAF were compared, based on their characteristics. POAF was used in 51 patients, according to the study. Patients with POAF were older than others with the disease. Chronic obstructive pulmonary disease and a history of coronary artery disease were more common in patients with POAF, but the prevalence of hypertension, diabetes mellitus, and smoking did not change. In patients with POAF, CRP was significantly higher than in patients with POAF. Patients with POAF had a higher left atrial diameter, EuroSCORE II, SSI, and SSIII. MACE 3. 2% versus 9. 8%, P =. 038 and one-year mortality: 4. 6 percent versus 13. 5%, P =. 008 of patients with POAF were significant higher.

Source link: https://doi.org/10.1532/hsf.2495


The Relationship between the HATCH Score, Neutrophil to Lymphocyte Ratio and Postoperative Atrial Fibrillation After Off-Pump Coronary Artery Bypass Graft Surgery

Backround: Postoperative fibrillation, the most common arrythmia in 18-40 percent of patients following coronary artery bypass surgery, may cause hemodynamic disturbances and elevate embolism risk. The aim of this research was to investigate the correlation of HATCH scores with PoAF in patients who underwent off-pump coronary artery bypass graft grafting and evaluate the effect of preoperatively calculated neutrophil-to-lymphocyte ratio on PoAF. Patients who underwent OPCABG between January 2014 and January 2019 were included in the study. Patients who did not experience PoAF during the postoperative hospitalization period were excluded from Group 1; those who did not develop PoAF during the hospitalization period were designated as Group 2; those who did not were not were identified as Group 2; those who did not were not: Group 1. Results: Group 1 was comprised of ninety-seven patients with a mean age of 54. 4 years, with one of 61. 1 years constituted Group 1, and another 26 patients with a mean age of 62. 6 years formed Group 2. Following OPCABG surgery, the HATCH score was identified as an independent predictor of AF development.

Source link: https://doi.org/10.1532/hsf.2771

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions