Risk factors for new thromboembolic stroke in patients ≥62 years of age with chronic atrial fibrillation

被引:58
作者
Aronow, WS
Ahn, C
Kronzon, I
Gutstein, H
机构
[1] Hebrew Hosp Home, Bronx, NY 10475 USA
[2] Mt Sinai Sch Med, Dept Geriatr & Adult Dev, New York, NY USA
[3] Univ Texas, Sch Med, Div Clin Epidemiol, Houston, TX USA
[4] NYU, Sch Med, Dept Med, New York, NY USA
关键词
D O I
10.1016/S0002-9149(98)00247-1
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In a prospective study of 312 older patients with chronic atrial fibrillation, at 36-month follow-up evaluation, new thromboembolic stroke developed in 162 of 312 patients (52%). Significant independent risk factors for new thromboembolic stroke were prior stroke (risk ratio = 1.6), rheumatic mitral stenosis (risk ratio = 2.0), left ventricular (LV) hypertrophy (risk ratio = 2.8), abnormal LV ejection fraction (risk ratio = 1.8), serum total cholesterol (risk ratio = 1.005), and serum high-density lipoprotein cholesterol (risk ratio = 0.96).
引用
收藏
页码:119 / 121
页数:3
相关论文
共 16 条
[1]   PREDICTORS OF THROMBOEMBOLISM IN ATRIAL-FIBRILLATION .1. CLINICAL-FEATURES OF PATIENTS AT RISK [J].
ANDERSON, DC ;
ASINGER, RW ;
NEWBURG, SM ;
FARMER, CC ;
WANG, K ;
BUNDLIE, SR ;
KOLLER, RL ;
JAGIELLA, WM ;
KREHER, S ;
JORGENSEN, CR ;
SHARKEY, SW ;
FLAKER, GC ;
WEBEL, R ;
NOLTE, B ;
STEVENSON, P ;
BYER, J ;
WRIGHT, W ;
CHESEBRO, JH ;
WIEBERS, DO ;
HOLLAND, AE ;
MILLER, DM ;
BARDSLEY, WT ;
LITIN, SC ;
MEISSNER, I ;
ZERBE, DM ;
MCANULTY, JH ;
MARCHANT, C ;
COULL, BM ;
FELDMAN, G ;
HAYWARD, A ;
GANDARA, E ;
MACMILLAN, K ;
BLANK, N ;
LEONARD, AD ;
KANTER, MC ;
ISENSEE, LM ;
QUIROGA, ES ;
PRESTI, CH ;
TEGELER, CH ;
LOGAN, WR ;
HAMILTON, WP ;
GREEN, BJ ;
BACON, RS ;
REDD, RM ;
CADELL, DJ ;
GOMEZ, CR ;
JANOSIK, DL ;
LABOVITZ, AJ ;
KELLEY, RE ;
CHAHINE, R .
ANNALS OF INTERNAL MEDICINE, 1992, 116 (01) :1-5
[2]  
ANDERSON DC, 1992, ANN INTERN MED, V116, P6
[3]   ASSOCIATION OF MITRAL ANULAR CALCIUM WITH NEW THROMBOEMBOLIC STROKE AND CARDIAC EVENTS AT 39-MONTH FOLLOW-UP IN ELDERLY PATIENTS [J].
ARONOW, WS ;
KOENIGSBERG, M ;
KRONZON, I ;
GUTSTEIN, H .
AMERICAN JOURNAL OF CARDIOLOGY, 1990, 65 (22) :1511-1512
[4]   Correlation of paroxysmal supraventricular tachycardia, atrial fibrillation, and sinus rhythm with incidences of new thromboembolic stroke in 1476 old-old patients [J].
Aronow, WS ;
Ahn, C ;
Mercando, AD ;
Epstein, S ;
Gutstein, H .
AGING-CLINICAL AND EXPERIMENTAL RESEARCH, 1996, 8 (01) :32-34
[5]   PROGNOSIS OF CONGESTIVE-HEART-FAILURE IN ELDERLY PATIENTS WITH NORMAL VERSUS ABNORMAL LEFT-VENTRICULAR SYSTOLIC FUNCTION ASSOCIATED WITH CORONARY-ARTERY DISEASE [J].
ARONOW, WS ;
AHN, C ;
KRONZON, I .
AMERICAN JOURNAL OF CARDIOLOGY, 1990, 66 (17) :1257-1259
[6]   Prevalence of echocardiographic findings in 554 men and in 1,243 women aged >60 years in a long-term health care facility [J].
Aronow, WS ;
Ahn, C ;
Kronzon, I .
AMERICAN JOURNAL OF CARDIOLOGY, 1997, 79 (03) :379-&
[7]   RISK-FACTORS FOR THROMBOEMBOLIC STROKE IN ELDERLY PATIENTS WITH CHRONIC ATRIAL-FIBRILLATION [J].
ARONOW, WS ;
GUTSTEIN, H ;
HSIEH, FY .
AMERICAN JOURNAL OF CARDIOLOGY, 1989, 63 (05) :366-367
[8]   Prevalence of atrial fibrillation and association of atrial fibrillation with prior and new thromboembolic stroke in older patients [J].
Aronow, WS ;
Ahn, C ;
Gutstein, H .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1996, 44 (05) :521-523
[9]   PERFORMANCE OF PRIMARY AND DERIVED M-MODE ECHOCARDIOGRAPHIC MEASUREMENTS FOR DETECTION OF LEFT-VENTRICULAR HYPERTROPHY IN NECROPSIED SUBJECTS AND IN PATIENTS WITH SYSTEMIC HYPERTENSION, MITRAL REGURGITATION AND DILATED CARDIOMYOPATHY [J].
DEVEREUX, RB ;
CASALE, PN ;
KLIGFIELD, P ;
EISENBERG, RR ;
MILLER, D ;
CAMPO, E ;
ALONSO, DR .
AMERICAN JOURNAL OF CARDIOLOGY, 1986, 57 (15) :1388-1393
[10]   ECHOCARDIOGRAPHIC MEASUREMENTS IN NORMAL SUBJECTS FROM INFANCY TO OLD-AGE [J].
HENRY, WL ;
GARDIN, JM ;
WARE, JH .
CIRCULATION, 1980, 62 (05) :1054-1061