Characteristics of Ischemic Stroke Despite Oral Anticoagulant Use For Atrial Fibrillation.
Can J Neurol Sci
; : 1-4, 2024 Jan 18.
Article
en En
| MEDLINE
| ID: mdl-38232961
ABSTRACT
Oral anticoagulation (OAC) prevents stroke in atrial fibrillation, yet a residual stroke risk remains. In this single-center retrospective analysis of acute ischemic stroke patients despite OAC, suboptimal OAC treatment is common (30% inappropriate dosing (17%); patient non-adherence (13%)). Other causes of stroke included OAC interruption (14.5%), a competing stroke mechanism (11.0%), and undetermined breakthrough stroke in 44.5%. Overall, easily modifiable causes of ischemic stroke despite OAC are common. Accordingly, strategies to improve treatment compliance, including appropriate dosing along with guideline-based risk factor and periprocedural OAC management, should be emphasized to improve secondary stroke prevention in this patient population.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Idioma:
En
Revista:
Can J Neurol Sci
Año:
2024
Tipo del documento:
Article
País de afiliación:
Canadá