Atrial fibrillation and stroke: State-of-the-art and future directions.

Elsheikh, Sandra, Hill, Andrew, Irving, Greg, Lip, Gregory YH and Abdul-Rahim, Azmil H ORCID: 0000-0002-1318-4027 (2024) Atrial fibrillation and stroke: State-of-the-art and future directions. Current problems in cardiology, 49 (1 Pt C). 102181-.

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Abstract

Atrial fibrillation (AF) and stroke remain a major cause of morbidity and mortality. The two conditions shared common co-morbidities and risk factors. AF-related strokes are associated with worse clinical outcomes and higher mortality compared to non-AF-related. Early detection of AF is vital for prevention. While various scores have been developed to predict AF in such a high-risk group, they are yet to incorporated into clinical guidelines. Novel markers and predictors of AF including coronary and intracranial arterial calcification have also been studied. There are also ongoing debates on the management of acute stroke in patients with AF, and those who experienced breakthrough stroke while on oral anticoagulants. We provided an overview of the complex interplay between AF and stroke, as well as the treatment and secondary prevention of stroke in AF. We also comprehensively discussed the current evidence and the ongoing conundrums, and highlighted the future directions on the topic.

Item Type:	Article
Uncontrolled Keywords:	Humans, Atrial Fibrillation, Anticoagulants, Administration, Oral, Risk Factors, Comorbidity, Stroke
Divisions:	Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences
Depositing User:	Symplectic Admin
Date Deposited:	02 Nov 2023 10:01
Last Modified:	13 Jan 2024 01:25
DOI:	10.1016/j.cpcardiol.2023.102181
Related URLs:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3176548