Prescription status of oral anticoagulants in patients with acute cerebral infarction with non-valvular atrial fibrillation at the time of stroke onset.

Abstract:

BACKGROUND:Anticoagulant therapy is used for preventing cerebral infarction in patients with non-valvular atrial fibrillation (NVAF). However, in clinical practice, many patients with NVAF are not prescribed oral anticoagulants (OACs). In this study, we retrospectively investigated the prescription status of OACs at the time of stroke onset and factors associated with drug prescription. METHODS:We studied patients with cerebral infarction with persistent NVAF who were admitted to our hospital between January 1 2015 and December 31, 2018. A total of 245 patients who had a CHADS2 score of 1 or higher and were receiving outpatient care for any underlying disease were included as subjects in this study. RESULTS:Overall, 104 of the 245 (42.4 %) patients received OAC therapy. The percentage of heart failure, percentage of previous cerebral infarction, CHADS2 score before stroke onset, and percentage of specialists (cardiovascular or neurological specialists) were significantly higher in the OAC therapy group than in the non-OAC therapy group. Age was older, and percentages of female sex, dementia, and patients receiving antiplatelet drugs on admission were significantly higher in the non-OAC therapy group than in the OAC therapy group. Multiple logistic regression analysis showed that previous cerebral infarction and specialists were associated with OAC therapy, whereas dementia and antiplatelet drugs on admission were associated with non-OAC therapy [cerebral infarction: odds ratio (OR) 6.926, 95 % confidence interval (CI) 1.742-27.541; specialists: OR 3.209, 95 % CI 1.694-6.080; dementia: OR 0.237, 95 % CI 0.067-0.831; and antiplatelet drug: OR 0.029, 95 % CI 0.007-0.114]. CONCLUSION:Our findings indicate that OAC prescription is affected by a previous history of cerebral infarction, a history of dementia, concurrent use of antiplatelet drugs, and whether the patient visits a specialist.

journal_name

J Cardiol

journal_title

Journal of cardiology

authors

Deguchi I,Osada T,Takao M

doi

10.1016/j.jjcc.2019.11.002

subject

Has Abstract

pub_date

2020-05-01 00:00:00

pages

544-548

issue

5

eissn

0914-5087

issn

1876-4738

pii

S0914-5087(19)30342-9

journal_volume

75

pub_type

杂志文章
  • [Intravascular ultrasound assessment at the site of balloon angioplasty: comparison with quantitative coronary angiography].

    abstract::The effect of coronary angioplasty is usually evaluated on the basis of coronary angiography. However, angiographic images taken after angioplasty vary and the angiographic assessment of the therapeutic success of angioplasty is limited by local disruptions and dissections at the site of the dilatation, which are ofte...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:

    authors: Yamashita Y,Takazawa K,Fujita M,Iketani T,Ibukiyama C

    更新日期:1994-11-01 00:00:00

  • Comparison of the efficacy and safety of statin and statin/ezetimibe therapy after coronary stent implantation in patients with stable angina.

    abstract::Little is known about the efficacy and safety of intensive lowering of low-density lipoprotein cholesterol (LDL-C) with statin/ezetimibe therapy after coronary stent implantation in patients with stable angina. Fifty patients with stable angina were randomly divided into an atorvastatin (10 mg/day) (A) group and an at...

    journal_title:Journal of cardiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jjcc.2012.03.002

    authors: Arimura T,Miura S,Ike A,Sugihara M,Iwata A,Nishikawa H,Kawamura A,Saku K

    更新日期:2012-08-01 00:00:00

  • [Prognosis of patients with triple vessel disease and old myocardial infarction: relationship to the number of total coronary occlusions].

    abstract::Patients with myocardial infarction (MI) and triple vessel coronary disease generally have poor prognoses. However, it is not known whether there are particular angiographic variables associated with the poor prognosis in MI patients with triple vessel disease. The angiographic variables for poor prognosis were invest...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:

    authors: Yabe T,Takata J,Chikamori T,Seo H,Yamada M,Yamasaki F,Doi Y

    更新日期:1995-11-01 00:00:00

  • [Clinical significance of early percutaneous coronary intervention in patients with Braunwald III-B type unstable angina pectoris].

    abstract:OBJECTIVES:To assess the efficacy of early invasive strategy for the treatment of Braunwald III-B type unstable angina pectoris. METHODS:This study included 573 consecutive patients of whom 267 underwent percutaneous coronary intervention (PCI) (312 lesions). The patients were divided into two groups, 95 treated with ...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:

    authors: Nozaki K,Nakao K,Horiuchi K,Kasanuki H,Honda T

    更新日期:2003-06-01 00:00:00

  • [Ventricular volumes determined by single-photon emission computed tomography].

    abstract::To determine right (RV) and left ventricular (LV) volumes, a new technique was developed using ECG-gated single-photon emission computed tomography (SPECT). RV volumes of nine patients and LV volumes of 22 patients measured by SPECT and biplane contrast cineangiography were compared. In addition, volume and ejection f...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:

    authors: Katohno E,Ono K,Owada K,Fujino A,Watanabe N,Sato M,Konno I,Yaoita H,Tsuda F,Kariyone S

    更新日期:1987-06-01 00:00:00

  • [Toxoplasma pericarditis without immunosuppressant disorder detected by polymerase chain reaction of pericardial fluid: a case report].

    abstract::There have been several case reports, a total of 22 up to the present, of toxoplasma pericarditis. Out of them, in only a few cases the diagnosis was properly made with a proof of the microscopic presence of Toxoplasma gondii. This is the first report of toxoplasma pericarditis in which the presence of Toxoplasma gond...

    journal_title:Journal of cardiology

    pub_type: 杂志文章,评审

    doi:

    authors: Sano J,Saitoh H,Kobayashi Y,Ikeda M,Kodani E,Takayama M,Kishida H,Takano T,Yano A

    更新日期:2000-01-01 00:00:00

  • Incidence, retrieval methods, and outcomes of intravascular ultrasound catheter stuck within an implanted stent: Systematic literature review.

    abstract:BACKGROUND:There have been no reviews regarding intravascular ultrasound (IVUS) catheter entrapment during percutaneous coronary intervention (PCI). This study investigated the incidence, retrieval methods, and outcomes of IVUS catheter stuck within implanted stents. METHODS:Between January 2015 and July 2018, a total...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:10.1016/j.jjcc.2019.07.005

    authors: Hiraya D,Sato A,Hoshi T,Sakai S,Watabe H,Ieda M

    更新日期:2020-02-01 00:00:00

  • Combination of conventional biomarkers for risk stratification in chronic heart failure.

    abstract:BACKGROUND:Although there is substantial interest in the use of newer biomarkers to identify patients with chronic heart failure (CHF), recently few investigations have evaluated the incremental usefulness of multiple conventional biomarkers. Combination of several biomarkers simultaneously could enhance risk stratific...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:10.1016/j.jjcc.2008.10.003

    authors: Niizeki T,Takeishi Y,Kitahara T,Suzuki S,Sasaki T,Ishino M,Kubota I

    更新日期:2009-04-01 00:00:00

  • [Congenital aortic regurgitation complicated by infective endocarditis of tricuspid valve due to spontaneous closure of ventricular septal defect: a case report].

    abstract::A 32-year-old woman presented with a rare case of tricuspid valve endocarditis causing inflammatory reopening of the spontaneously closed ventricular septal defect (VSD), associated with aortic valve malformation. She was admitted to our hospital because of fever lasting 4 weeks. Severe aortic regurgitation was reveal...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:

    authors: Hamada T,Furuno T,Fukui T,Kitaoka H,Matsumura Y,Takata J,Seo H,Chikamori T,Doi Y

    更新日期:1998-01-01 00:00:00

  • Correlations of arterial stiffness/central hemodynamics with serum cardiac troponin T and natriuretic peptide levels in a middle-aged male worksite cohort.

    abstract:BACKGROUND:Elevated serum levels of cardiac troponin T (cTnT) and N-terminal fragment of B-type natriuretic peptide (NT-proBNP), and also increased arterial stiffness/abnormal central hemodynamics, are well-known risk factors for future cardiovascular events. The present study was conducted to clarify which of the two ...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:10.1016/j.jjcc.2014.10.008

    authors: Kimura K,Tomiyama H,Matsumoto C,Odaira M,Shiina K,Nagata M,Yamashina A

    更新日期:2015-08-01 00:00:00

  • Risk factors and the effects of xamoterol in idiopathic dilated cardiomyopathy.

    abstract::A long-term follow-up study was performed for 110 patients with idiopathic dilated cardiomyopathy (DCM) for 34 +/- 12 months (range 3-122 months). Thirteen patients died of heart failure, 15 of sudden death and one of non-cardiac death. The 3- and 5-year survival rates were 78 and 62%, respectively. The important fact...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:

    authors: Watanabe K,Hirokawa Y,Suzuki K,Masani F,Otsuka H,Izumi T,Shibata A

    更新日期:1992-01-01 00:00:00

  • Low left atrial appendage flow velocity predicts recurrence of atrial fibrillation after catheter ablation of persistent atrial fibrillation.

    abstract:BACKGROUND:Recurrence after catheter ablation of persistent atrial fibrillation (AF) remains an unsolved issue. This study aimed to explore the association between the left atrial appendage peak flow velocity (LAAV) and AF recurrence after ablation in persistent AF patients. METHODS:Fifty-three consecutive patients wh...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:10.1016/j.jjcc.2015.04.009

    authors: Kanda T,Masuda M,Sunaga A,Fujita M,Iida O,Okamoto S,Ishihara T,Watanabe T,Takahara M,Sakata Y,Uematsu M

    更新日期:2015-11-01 00:00:00

  • [Aortic stenosis and mitral regurgitation complicated by hemolytic anemia and positive Direct Coombs test: a case report].

    abstract::A 83-year-old man was admitted because of heart failure due to severe aortic stenosis and mitral regurgitation secondary to chordal rupture of the anterior leaflet. Mild anemia and elevated serum lactate dehydrogenase were present with reticulocytosis and haptoglobinemia. Direct Coombs test was positive. Coexistence o...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:

    authors: Tamura S,Kitaoka H,Yamasaki N,Okawa M,Kubo T,Matsumura Y,Furuno T,Takata J,Nishinaga M,Sasaguri S,Doi Y

    更新日期:2005-09-01 00:00:00

  • Coronary artery spasm--clinical features, diagnosis, pathogenesis, and treatment.

    abstract::Coronary (artery) spasm plays an important role in the pathogenesis of ischemic heart disease, including stable angina, unstable angina, myocardial infarction, and sudden death. The prevalence of coronary spasm differs among populations, is higher in Japan and Korea than in the Western countries probably due to geneti...

    journal_title:Journal of cardiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jjcc.2008.01.001

    authors: Yasue H,Nakagawa H,Itoh T,Harada E,Mizuno Y

    更新日期:2008-02-01 00:00:00

  • MicroRNAs: Emerging biomarkers for atrial fibrillation.

    abstract::Atrial fibrillation (AF) causes severe cardiac dysrhythmia among patients with cardiovascular diseases. AF increases the risk of stroke and heart failure and is a growing public health concern. AF is also associated with various disease conditions such as hypertension, coronary artery disease, aging, and diabetes mell...

    journal_title:Journal of cardiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jjcc.2019.05.018

    authors: Komal S,Yin JJ,Wang SH,Huang CZ,Tao HL,Dong JZ,Han SN,Zhang LR

    更新日期:2019-12-01 00:00:00

  • [Evaluation of coronary flow reserve using Doppler guide wire in patients with ampulla cardiomyopathy: three case reports].

    abstract::Coronary flow velocity recordings were obtained in three patients with ampulla (Takotsubo) cardiomyopathy using Doppler guide wire. Immediately after admission, coronary angiography demonstrated no significant stenosis and normal coronary flow in the epicardial coronary artery. Left ventriculography showed abnormal wa...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:

    authors: Yanagi S,Nagae K,Yoshida K,Matsumura Y,Nagashima E,Okada M,Ota T,Hirota K,Yoshikawa J

    更新日期:2002-06-01 00:00:00

  • Physical activity and progression of carotid intima-media thickness in patients with coronary heart disease.

    abstract:OBJECTIVE:We conducted the present study to determine the level of physical activity required to retard the progression of carotid intima-media thickness (IMT) in patients with coronary heart disease (CHD). PATIENTS AND MAIN OUTCOME MEASUREMENTS:The daily walking distance (km/day) of 40 patients with CHD (male/female ...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:10.1016/j.jjcc.2008.02.005

    authors: Sato S,Makita S,Uchida R,Ishihara S,Majima M

    更新日期:2008-06-01 00:00:00

  • [Atrial wall hematoma after mitral valvuloplasty and maze procedure: a case report].

    abstract::A 66-year-old male patient with mitral regurgitation and atrial fibrillation underwent mitral valvuloplasty with a modified maze procedure. Follow-up echocardiography performed on the 4th postoperative day revealed a high echoic mass of 6.7 x 3.0 cm which appeared continuous to the left atrial wall and protruded into ...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:

    authors: Shimozato A,Kaneko Y,Kim M,Takeuchi H,Oguri A,Yonemura S,Uozumi H,Kobayakawa N,Masuzawa A,Kobayashi J,Aoyagi T

    更新日期:2006-12-01 00:00:00

  • Clinical impact of transcatheter atrial septal defect closure on new onset atrial fibrillation in adult patients: Comparison with surgical closure.

    abstract:BACKGROUND:Previous studies demonstrated that the incidence of atrial fibrillation (AF) was significantly increased when patients aged ≥40 years had surgical atrial septal defect (ASD) closure (sASD). However, limited information is available on such findings in transcatheter ASD closure (tASD). The purpose of this stu...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:10.1016/j.jjcc.2020.01.008

    authors: Fujii Y,Akagi T,Nakagawa K,Takaya Y,Eto K,Kuroko Y,Kotani Y,Ejiri K,Ito H,Kasahara S

    更新日期:2020-07-01 00:00:00

  • [Respiratory changes of superior vena cava flow velocity in old myocardial infarction with severe left ventricular dysfunction].

    abstract::The clinical significance of the flow velocity of the superior vena cava (SVC) in old myocardial infarction (OMI) with severe left ventricular dysfunction were evaluated using pulsed Doppler echocardiography. The subjects consisted of 10 patients with OMI (averaged left ventricular ejection fraction: 0.37 +/- 0.11) an...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:

    authors: Iuchi K,Nakamura Y,Ishikawa T,Kaseno K

    更新日期:1988-03-01 00:00:00

  • Association of intensive care unit admission and mortality in patients with acute myocardial infarction.

    abstract:BACKGROUND:An admission to the intensive care unit (ICU) after developing acute myocardial infarction (AMI) has been the standard of care and is recommended by professional societies. However, evidence that justifies its use, such as a reduction in mortality, has never been shown despite the associated financial burden...

    journal_title:Journal of cardiology

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.jjcc.2019.01.007

    authors: Miki R,Takeuchi M,Imai T,Seki T,Tanaka S,Nakamura M,Kawakami K

    更新日期:2019-08-01 00:00:00

  • Secondary sarcopenia assessed by computed tomography can predict hospitalization for heart failure in adults with Fontan circulation.

    abstract:BACKGROUND:Sarcopenia is one of the important predictors of heart failure (HF) in patients with cardiac problems. Skeletal muscle pump is important to maintain Fontan circulation. We aimed to quantify the volume of the psoas major muscle (PMM) and investigate whether it is relevant to HF hospitalization in adults with ...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:10.1016/j.jjcc.2020.06.009

    authors: Shiina Y,Nagao M,Shimomiya Y,Inai K

    更新日期:2021-01-01 00:00:00

  • Effect of renal transplantation on the cardiac function of patients with hemodialysis.

    abstract:OBJECTIVES:This study investigated whether renal transplantation could improve cardiac function in patients who had undergone hemodialysis. METHODS:Cardiac function and coronary risk factors were compared between the renal transplantation group (RT group: n=34) and the maintenance hemodialysis group (HD group: n=40). ...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:

    authors: Takahashi K,Ikeoka K,Nojima M,Shima H,Ohyanagi M

    更新日期:2007-01-01 00:00:00

  • Characteristics of heart failure associated with the Great East Japan Earthquake.

    abstract:BACKGROUND:On March 11, 2011, the Tohoku district was struck by the most powerful known earthquake to hit Japan. Although stress-induced heart diseases rise after strong psychosocial stress, little is known about the characteristics of heart failure (HF) caused by psychosocial stress related to earthquakes. METHODS:We...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:10.1016/j.jjcc.2013.02.015

    authors: Nakamura A,Satake H,Abe A,Kagaya Y,Kohzu K,Sato K,Nakajima S,Fukui S,Endo H,Takahashi T,Nozaki E,Tamaki K

    更新日期:2013-07-01 00:00:00

  • [Clinical investigation of inhomogeneity of washout rate in dipyridamole stress thallium scintigraphy: implication of new parameter for the indication of coronary intervention].

    abstract:OBJECTIVES:The standard deviation of the washout rate in dipyridamole stress thallium-201 myocardial single photon emission computed tomography (SPECT) was correlated with the severity of coronary artery lesions and the viability of ischemic myocardium to provide a new quantitative parameter for judging indications for...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:

    authors: Arao M,Setsuta K,Seino Y,Takano T

    更新日期:2000-11-01 00:00:00

  • Long-term adherence to nasal continuous positive airway pressure therapy by hypertensive patients with preexisting sleep apnea.

    abstract:BACKGROUND AND OBJECTIVE:Although positive screening for and treatment of obstructive sleep apnea (OSA) have been recommended for patients with cardiovascular problems, patient adherence to nasal continuous positive airway pressure (CPAP) therapy primarily for a cardiovascular concern is unknown. Therefore, this study ...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:10.1016/j.jjcc.2013.08.013

    authors: Furukawa T,Suzuki M,Ochiai M,Kawashima H,Yokoyama N,Isshiki T

    更新日期:2014-04-01 00:00:00

  • [Relationship between coronary flow reserve and recovery of regional left ventricular function in patients with tako-tsubo-like transient left ventricular dysfunction].

    abstract:OBJECTIVES:This study assessed the relationship between coronary flow reserve and functional recovery of left ventricular wall motion in patients with tako-tsubo-like transient left ventricular dysfunction. METHODS:Coronary flow reserve was measured using the Doppler guide wire technique in the left descending coronar...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:

    authors: Kume T,Akasaka T,Kawamoto T,Watanabe N,Yoshitani H,Akiyama M,Koyama Y,Neishi Y,Tsukiji M,Yoshida K

    更新日期:2004-03-01 00:00:00

  • Impaired renal function is associated with recurrence after cryoballoon catheter ablation for paroxysmal atrial fibrillation: A potential effect of non-pulmonary vein foci.

    abstract:BACKGROUND:Atrial fibrillation (AF) and chronic kidney disease (CKD) are closely related. The present study aimed to evaluate the association between estimated glomerular filtration rate (eGFR) and outcomes after cryoballoon catheter ablation for AF. METHODS:We included a total of 110 patients (64.0±10.1 years, 64% me...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:10.1016/j.jjcc.2016.07.008

    authors: Yanagisawa S,Inden Y,Kato H,Fujii A,Mizutani Y,Ito T,Kamikubo Y,Kanzaki Y,Ando M,Hirai M,Shibata R,Murohara T

    更新日期:2017-01-01 00:00:00

  • Predictive importance of left ventricular myocardial stiffness for the prognosis of patients with congestive heart failure.

    abstract:OBJECTIVES:This study was designed to determine the prognostic importance of left ventricular (LV) myocardial stiffness, a hemodynamic index which is closely related to B-type natriuretic peptide (BNP) concentration in patients with congestive heart failure (CHF). BACKGROUND:While elevated BNP, an abnormality of cardi...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:10.1016/j.jjcc.2011.07.005

    authors: Watanabe S,Shite J,Takaoka H,Shinke T,Tanino Y,Otake H,Matsumoto D,Ogasawara D,Sawada T,Hirata K,Yokoyama M

    更新日期:2011-11-01 00:00:00

  • [Surgical indications of ischemic heart disease: a physician's viewpoint].

    abstract::Surgical indications for patients with ischemic heart disease are discussed from a physician's viewpoint. Among the subsets of this disease, surgical treatment is undoubtedly recommended for patients with serious complications following acute myocardial infarction (MI) such as cardiac rupture, interventricular septal ...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:

    authors: Haze K

    更新日期:1988-09-01 00:00:00