Detection of paroxysmal Atrial Fibrillation in patients with cryptogenic ischemic Stroke

Doctoral Dissertation uoadl:2938939 21 Read counter

Faculty of Medicine
Library of the School of Health Sciences
Deposit date:
Liantinioti Chrysoula
Dissertation committee:
Τσιβγούλης Γεώργιος, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Στεφανής Λεωνίδας, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Φιλιππάτος Γεράσιμος, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Βουμβουράκης Κωνσταντίνος, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Παρασκευάς Γεώργιος, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Παρίσης Ιωάννης, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Γιαννόπουλος Σωτήριος, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Original Title:
Ανίχνευση παροξυσμικής Κολπικής Μαρμαρυγής σε ασθενείς με κρυπτογενή ισχαιμικά αγγειακά εγκεφαλικά επεισόδια
Translated title:
Detection of paroxysmal Atrial Fibrillation in patients with cryptogenic ischemic Stroke
Ischemic stroke (IAE) is the most common subgroup of stroke occurring in all age groups. The determination of the etiopathological mechanism dictates the treatment, the prognosis and the secondary prevention in these patients. Often the causes are undetermined (cryptogenic ischemc stroke) despite the extensive diagnostc evaluation. The last years, many trials were conducted in order to determine the best method to detect atrial firbillation in patients withn cryptogenic stroke. Atrial fibrillation (AF) is an known frequently asymptomatic and paroxysmal arrtythmia with high thromboembolic risk. The detection of AF is important in the clinical practice because anticoagulation therapy benefits compared to antiplatetels, on the secondary prevention of stroke and systemic thromboembolism.The purpose of our study was to investigate the incidence of paroxysmal atrial fibrillation in patients with cryptogenic stroke with common cardiac assessment and with repeated 24-hour Holter- ECG's , to study the possible contribution of neurovascular imaging and neuroimaging to the detection rate of AF and finally to examine the possible correlation of the duration of paroxysmal atrial firbillation and the severity of the ischemic stroke
Main subject category:
Health Sciences
Ιschemic stroke, Αtrial fibrillation
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