Carotid stenosis associated with atrial fibrillation.

Abstract:

PURPOSE AND SETTING:To describe the prevalence and risk factors for carotid stenosis in TIA/stroke patients with non valvular atrial fibrillation (AF) and to compare clinical and CT characteristics of TIA/stroke in AF patients with and without carotid stenosis. SUBJECTS:50 TIA/stroke patients with AF who had ultrasound investigation of the extracranial vessels, included in a prospective hospitalar registry. RESULTS:Twenty-two patients had some degree of carotid stenosis, but only 5 had more than 50% stenosis, including one with occlusion. Stenosis was neither more frequent nor more severe on the symptomatic side. Smokers were significantly more frequent in AF patients with > 50% stenosis. Clinical and CT features were quite similar in patients with and without carotid stenosis. CONCLUSION:The association in a TIA/Stroke patient of AF and severe carotid stenosis on the symptomatic side is exceptional. TIA/strokes related to carotid stenosis cannot be identified by their clinical/CT characteristics. Management of these patients must be decided by stratification of risk of recurrence for AF and from carotid stenosis and balance of these risks with that of endarterectomy.

journal_name

Rev Neurol

journal_title

Revista de neurologia

authors

Ruivo A,Lopes M,Melo TP,Salgado AV,Oliveira V,Canhão P,Pinto AN,Crespo M,Ferro JM

subject

Has Abstract

pub_date

1996-01-01 00:00:00

pages

55-8

issue

125

eissn

0210-0010

issn

1576-6578

journal_volume

24

pub_type

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