Abstract

In a registry of 250 patients treated for atrial fibrillation (160 recurrent, 90 permanent forms), we prospectively looked for associated risk factors for cerebrovascular complications. After a 4-years follow-up, 19 patients had presented a cerebral accident (13 strokes, 4 transient ischemic attacks, 2 cerebral hemorrhages). Prognostic factors for cerebrovascular complications were hypertension, valvular heart disease, and age ≥70 years. When restricting the analysis to stroke and transient ischemic attacks, prognostic factors were limited to hypertension and age ≥70 years. In conclusion, hypertension and age ≥70 years are the main independent risk factors for cerebral ischemic attacks in out-of-hospital patients treated for atrial fibrillation.

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