TY - JOUR
T1 - Mechanisms and Prediction of Ischemic Stroke in Atrial Fibrillation Patients
AU - Aarnink, Errol
AU - Zabern, Maxime
AU - Boersma, Lucas
AU - Glikson, Michael
N1 - Publisher Copyright: © 2023 by the authors.
PY - 2023/10/1
Y1 - 2023/10/1
N2 - Atrial fibrillation (AF) is the most common arrhythmia in adults worldwide and represents an important burden for patients, physicians, and healthcare systems. AF is associated with substantial mortality and morbidity, due to the disease itself and its specific complications, such as the increased risk of stroke and thromboembolic events associated with AF. The temporal relation between AF episodes and stroke is nonetheless incompletely understood. The factors associated with an increased thromboembolic risk remain unclear, as well as the stroke risk stratification. Therefore, in this review, we intend to expose the mechanisms and physiopathology leading to intracardiac thrombus formation and stroke in AF patients, together with the evidence supporting the causal hypothesis. We also expose the risk factors associated with increased risk of stroke, the current different risk stratification tools as well as future prospects for improving this risk stratification.
AB - Atrial fibrillation (AF) is the most common arrhythmia in adults worldwide and represents an important burden for patients, physicians, and healthcare systems. AF is associated with substantial mortality and morbidity, due to the disease itself and its specific complications, such as the increased risk of stroke and thromboembolic events associated with AF. The temporal relation between AF episodes and stroke is nonetheless incompletely understood. The factors associated with an increased thromboembolic risk remain unclear, as well as the stroke risk stratification. Therefore, in this review, we intend to expose the mechanisms and physiopathology leading to intracardiac thrombus formation and stroke in AF patients, together with the evidence supporting the causal hypothesis. We also expose the risk factors associated with increased risk of stroke, the current different risk stratification tools as well as future prospects for improving this risk stratification.
KW - atrial fibrillation
KW - left atrial appendage
KW - stroke prediction
KW - stroke prevention
UR - http://www.scopus.com/inward/record.url?scp=85175192772&partnerID=8YFLogxK
U2 - https://doi.org/10.3390/jcm12206491
DO - https://doi.org/10.3390/jcm12206491
M3 - Review article
C2 - 37892626
SN - 2077-0383
VL - 12
JO - Journal of clinical medicine
JF - Journal of clinical medicine
IS - 20
M1 - 6491
ER -