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Risk-Based Screening of Atrial Fibrillation in General Practice (R-BEAT): A randomised Cross-over Trial.
QJM
January 2025
HRB Clinical Research Facility Galway, School of Medicine, University of Galway, Galway, Ireland.
Background: The optimal approach to the diagnosis of atrial fibrillation in primary care is unclear.
Aim: To determine if external loop recorder (ELR) screening improves atrial fibrillation detection in community dwelling adults with a CHA2DS2-VASc score of greater than two.
Design: Randomised cross-over clinical trial.
Risk Factors for Silent Brain Infarction in Nonvalvular Atrial Fibrillation Patients with Low CHA2DS2-VASc Score.
Curr Neurovasc Res
December 2024
Department of Cardiology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, China.
Article Synopsis
- Silent Brain Infarction (SBI) is associated with cognitive decline and increased stroke risk, particularly in patients with nonvalvular atrial fibrillation (NVAF) having a low CHA2DS2-VASc score.
- In a study of 301 low-risk NVAF patients, significant differences in blood parameters and echocardiography results were found between those with and without SBI, with Platelet-To-Lymphocyte Ratio (PLR) and left atrial diameter (LAD) identified as independent risk factors.
- The study established that both PLR and LAD have diagnostic value for SBI, with a combined area under the curve (AUC) indicating moderate predictive ability for identifying patients at
Prognostic value of CHA2DS2-VASc score for in-hospital outcomes in patients with Takotsubo syndrome.
Cardiovasc Revasc Med
December 2024
Division of Cardiology, Department of Medicine, Warren Alpert Medical School of Brown University and Lifespan Cardiovascular Institute, Providence, RI, USA.
Background: There is uncertainty about the use of the CHA2DS2-VASc score to predict clinical events in patients with Takotsubo syndrome (TTS). This study aimed to assess the short-term prognostic role of CHA2DS2-VASc score in this population.
Methods: All admissions with a primary diagnosis of TTS were included using data from the National Inpatient Sample database during 2016-2019.
Heart Failure Masked as Pulmonary Embolism in Non-adherent Patient With Atrial Fibrillation: Case Report and Analytical Review of the Literature.
In Vivo
December 2024
Department of Health and Care Professions, Faculty of Health and Life Sciences, University of Exeter, Exeter, U.K.;
Background/aim: Atrial fibrillation (AF) and heart failure (HF) commonly co-occur, significantly increasing morbidity and mortality. Poorly controlled AF can contribute to complications like HF and is associated with conditions, such as stroke and pulmonary embolism (PE). This report involves a man with AF who had persistent respiratory symptoms and left-sided chest pain, initially suspected to be PE, but eventually diagnosed as HF.
View Article and Find Full Text PDFPrediction of stroke in patients with severe aortic stenosis by left atrial appendage filling defect patterns on early and late-phase computed tomography.
Int J Cardiol Heart Vasc
February 2025
Department of Radiology, Innsbruck Medical University, Innsbruck, Austria.
Article Synopsis
- Stroke is a significant risk following transcatheter aortic valve implantation (TAVI), and this study aimed to determine if patterns from CT scans can predict stroke or transient ischemic attacks (TIA) in patients with severe aortic stenosis.
- The research included 124 patients and found that stroke/TIA occurred in 9.6% of cases; late-phase filling defects (FDs) in the left atrial appendage (LAA) were significantly linked to stroke, while early-phase FDs showed some correlation, particularly with lower density values.
- The study concluded that ongoing LAA filling defects observed in late-phase CT scans and certain density criteria from early-phase scans may enhance the assessment of stroke risk, suggesting a
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