440 (Po) Acute Ischaemic Stroke In Patients With Atrial Fibrillation

Conference: 
Author(s): 
GE. Gavrielatos, NI. Komitopoulos, NI. Lionakis, IO. Aivaliotis, IO. Ioannidis, ATH. Nikolopoulos, EY. Varsamis
2nd Department of Internal Medicine, .AGIA OLGA. General Hospital, Athens, Greece
Text: 
BACKGROUND/AIM:
Atrial fibrillation (AF) appears to be a major risk factor for ischaemic thromboembolic cerebrovascular disease. The aim of this study was to report the occurrence of acute ischaemic stroke in patients with AF, and estimate the effectiveness of preventive anticoagulant therapy.
METHODS:
This is a retro prospective study, based on data collected from the medical reports of 113 patients, 48 males and 65 females who were hospitalized in our department the past three years.
RESULTS:
AF was found in 35 patients (31%), 11. males and 24 females with mean average of age 82,34ñ7 years old. Under antithrombotic medication were 14/35 patients(40%) but only 6/35 (17,14%) were taking acenocoumarol and the other 8/35 (22,86%) several antiplatelet agents (5 salicylic acid, 2 dipyridamole, 1 clopidogrel).The rest 60% was not under anticoagulant therapy. History of previous stroke had 13/35 and only 8/13 were taking anticoagulants. All patients who were taking acenocoumarol had not satisfactory INR (values of INRCONCLUSIONS:
Despite the fact AF is an indisputable risk factor for acute ischaemic stroke, only 17,14% of our patients were under long term anticoagulation. All of them had INR
Literature: 
440 (PO) ACUTE ISCHAEMIC STROKE IN PATIENTS WITH ATRIAL FIBRILLATION