Abstract :
A third of all ischemic strokes are discovered to have atrial fibrillation, and this number rises even higher following post-stroke surveillance. Stroke registries demonstrate that atrial fibrillation is responsible for most of these strokes, typically deadly or debilitating. Therefore, most strokes may be avoided if screening or case finding for atrial fibrillation were used to identify patients at risk of stroke and treat all atrial fibrillation patients with well-controlled vitamin K antagonists or anticoagulants. There is a rise in prevalence gradually with time; however, there is a lack of data on how it affects stroke outcomes in the general population. Therefore, patients with a first-time ischemic stroke were studied for their prevalence of AF and the prognosis. The data comes from a population register. al-Hindia general hospital, a routine ECG revealed the presence of AF at stroke onset and during the acute phase in 24.6 percent of individuals with ischemic stroke. Patients with AF are distinct from individuals who do not have arrhythmia. Women above the age of 80 were more likely to have coronary heart disease than men. IF PRESENT, the AF was related to high 29-day and 1-year case-fatality rates (32.5 percent; 95 percent CI, 29.3 to 35.6). It is estimated that 95 percent CI is between 46.2% and 52.8%, with a greater probability of the recurrence of stroke in the first year of follow-up (6.6 per cent versus 4.4%; According to P 0.046), and the lowest survival after an average follow-up of 45.2 months (P 0.0001). Our study found that individuals with a first-time ischemic stroke were more likely to have AF, particularly older women. In addition to novel approaches, the total contribution of AF to stroke mortality was significant. Arrhythmias can be prevented if more appropriate treatments are used, particularly in elderly women.
