Incidence and predictors of stroke in patients discharged with the diagnosis of acute coronary syndrome

Stroke is one the most feared cardiovascular disease due to its high risk of disability and its incidence after an acute coronary syndrome (ACS) is not uncommon. Retrospective study of all consecutive patients admitted for an ACS in two hospitals. Competing risk regression, taking all-cause mortalit...

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Bibliographic Details
Published in:International journal of cardiology 2019-02, Vol.276, p.20-25
Main Authors: Cordero, Alberto, Rodriguez-Mañero, Moisés, García-Acuña, Jose M., Bertomeu-González, Vicente, Agra-Bermejo, Rosa, Cid, Belen, Alvarez, Belen, Bertomeu-Martínez, Vicente, González-Juanatey, Jose R.
Format: Article
Language:English
Subjects:
Acute coronary syndrome
Atrial fibrillation
Stroke
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Summary:Stroke is one the most feared cardiovascular disease due to its high risk of disability and its incidence after an acute coronary syndrome (ACS) is not uncommon. Retrospective study of all consecutive patients admitted for an ACS in two hospitals. Competing risk regression, taking all-cause mortality as a competing event, was used for the assessment of stroke incidence. We included 8771 patients, AF prevalence 12.4%. AF patients were older and presented higher prevalence of cardiovascular risk factors, previous cardiovascular disease, and lower glomerular filtration rate. Less than half of AF patients were receiving oral anticoagulation before admission. In-hospital mortality was 5.1% and it was more than two-fold higher in AF patients (10.2% vs. 4.4%; p 
ISSN:0167-5273
1874-1754
DOI:10.1016/j.ijcard.2018.10.082