Management and Prognosis of Acute Stroke in Atrial Fibrillation

Mette F. Hindsholm, Dorte Damgaard, M. Edip Gurol, David Gaist, Claus Z Simonsen

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Abstract

Atrial fibrillation (AF) is an important risk factor for ischemic stroke (IS). Oral anticoagulation (OAC) significantly reduces the risk of IS in AF but also increases the risk of systemic bleeding, including intracerebral hemorrhage (ICH). AF-related strokes are associated with greater disability and mortality compared to non-AF strokes. The management of patients with AF-related strokes is challenging, and it involves weighing individual risks and benefits in the acute treatment and
preventive strategies of these patients. This review summarizes the current knowledge of the acute management of ischemic and hemorrhagic stroke in patients with AF, and the prognosis and potential implications for management both in the acute and long-term setting.
Original languageEnglish
Article number5752
JournalJournal of Clinical Medicine
Volume12
Issue number17
Number of pages23
ISSN2077-0383
DOIs
Publication statusPublished - 4. Sept 2023

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