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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1991-4-18
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pubmed:abstractText |
To examine the relationship between atrial fibrillation and mortality after stroke, we studied 186 men and 167 women from the Waikato Stroke Registry whose mean age was 75.2 +/- 7.5 years. Twenty-three percent (82 of 353) had atrial fibrillation or flutter on their admission electrocardiogram. This group differed significantly from that with sinus rhythm in three respects: 1) They were older (p less than 0.01); 2) they had more severe current stroke deficit as evidenced by lower limb power (p less than 0.05) and Mini-Mental State Score (p less than 0.001), higher incidence of homonomous hemianopia (p less than 0.05), and lower incidence of lacunar syndrome stroke (p less than 0.001); and 3) they had a significantly higher incidence of cardiomegaly and congestive heart failure (p less than 0.01). Functional outcome was insignificantly better in the group with sinus rhythm. During a mean follow-up period of 18 months, mortality was significantly higher in the group with atrial fibrillation (p = 0.001). Proportional hazards modeling, however, showed that the apparently poorer survival in those patients with atrial fibrillation could be explained by factors other than cardiac rhythm, such as age, Mini-Mental State Score, level of consciousness, and interstitial edema on admission chest radiograph. Thus, atrial fibrillation was not an independent predictor of survival after stroke.
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
0039-2499
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
22
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
209-14
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:2003285-Activities of Daily Living,
pubmed-meshheading:2003285-Aged,
pubmed-meshheading:2003285-Atrial Fibrillation,
pubmed-meshheading:2003285-Cause of Death,
pubmed-meshheading:2003285-Cerebrovascular Disorders,
pubmed-meshheading:2003285-Disability Evaluation,
pubmed-meshheading:2003285-Female,
pubmed-meshheading:2003285-Humans,
pubmed-meshheading:2003285-Male,
pubmed-meshheading:2003285-Middle Aged,
pubmed-meshheading:2003285-Prognosis,
pubmed-meshheading:2003285-Proportional Hazards Models,
pubmed-meshheading:2003285-Registries,
pubmed-meshheading:2003285-Survival Analysis,
pubmed-meshheading:2003285-Tomography, X-Ray Computed
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pubmed:year |
1991
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pubmed:articleTitle |
Atrial fibrillation after stroke in the elderly.
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pubmed:affiliation |
Stroke Unit, Waikato Hospital, Hamilton, New Zealand.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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