Atrial Fibrillation during Cerebral Infarction in Brazzaville: Frequency and Predictive Factors

• 作者: Bertrand Fikhaem Ellenga-Mbolla Christian Kouala-Landa Ghislain Mpandzou Jospin Makani Louis Igor Ondze-Kafata Paul Macaire Ossou-Nguiet Stéphane Méo Ikama Suzy Gisèle Kimbally-Kaky Thibault Gankama Thierry Raoul Gombet Yann Luiz Ngouabi
• 来源期刊: 心血管病(英文)
• 学科: 医学
• 关键词: ATRIAL FIBRILLATION Cerebral Infarction FREQUENCY Predictive Factors CONGO
• 年，卷（期）: xxgbyw_2019,（12）
• 页码范围: 891-898
• 页数: 8页
• 分类号: R54

摘要

In order to contribute to the improvement of brain infarction management in Brazzaville, a cross-sectional and analytical study with prospective data collection was conducted in the cardiology and neurology departments of the Brazzaville University Hospital, from February 1 to July 31, 2018. It included patients hospitalized for cerebral infarction confirmed with imaging, and having done an etiological assessment with at least one electrocardiogram at rest and one of long duration. Among these 138 patients included, 11 had atrial fibrillation, equaling?a frequency of 7.9%. The mean age of AF patients was 71 ± 8.8 years. The cardiovascular risk factors found were hypertension in eight cases (72.7%), diabetes in five cases (45.5%), abdominal obesity in four cases (36.4%). AF was permanent in 10 cases (91%), and paroxysmal in one case (9%). It was valvular in three cases (27.3%) and non-valvular in eight cases (72.7%). The cardiopathy involved was hypertensive in seven cases (63.6%), ischemic and valvular in two cases each. The CHA2DS2-VASc score, calculated in eight patients, was an average of 2.2, and ≥2 in more than 80% of patients;HAS-BLED score of 2.4 on average was ≥?3 in more than 72% of patients. Digoxin was prescribed in seven cases (63.6%) and an anti-vitamin K in eight cases (72.7%). In multivariate analysis, age (OR = 20.10, p = 0.023), arterial hypertension (OR = 23.82, p = 0.011), and dyslipidemia (OR = 2.03, p = 0.032) were the predictive factors found. AF is infrequent during brain infarction in Brazzaville. This systematic research raises the problem of age in our context.