Clinical and Imaging Characteristics of Cerebral Infarction in Patients with Nonvalvular Atrial Fibrillation Combined with Cerebral Artery Stenosis
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- Sun Wei
- Department of Neurology, the Affiliated Ganzhou Hospital of Nanchang University
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- Li Guangsheng
- Department of Neurology, the Affiliated Ganzhou Hospital of Nanchang University
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- Zeng Xiangjun
- Department of Neurology, the Affiliated Ganzhou Hospital of Nanchang University
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- Lai Zhaohui
- Department of Neurology, the Affiliated Ganzhou Hospital of Nanchang University
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- Wang Mingqi
- Department of Neurology, the Affiliated Ganzhou Hospital of Nanchang University
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- Ouyang Yi
- Department of Neurology, the Affiliated Ganzhou Hospital of Nanchang University
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- Zeng Guoyong
- Department of Neurology, the Affiliated Ganzhou Hospital of Nanchang University
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- Peng Jidong
- Department of Radiology, the Affiliated Ganzhou Hospital of Nanchang University
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- Zhong Junyuan
- Department of Radiology, the Affiliated Ganzhou Hospital of Nanchang University
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- Xiao Daoxiong
- Department of Radiology, the Affiliated Ganzhou Hospital of Nanchang University
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- Huang Zhiping
- Department of Ultrasonography, the Affiliated Ganzhou Hospital of Nanchang University
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- Guo Xiaofen
- Department of Ultrasonography, the Affiliated Ganzhou Hospital of Nanchang University
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Abstract
<p>Aims: Nonvalvular atrial fibrillation often occurs in combination with carotid atherosclerosis, but less is known about it in combination with cerebral artery stenosis. This study investigated the characteristics of cerebral infarction in patients with nonvalvular atrial fibrillation with or without cerebral artery stenosis.</p><p>Methods: A retrospective analysis was conducted on 172 cerebral infarction patients with nonvalvular atrial fibrillation hospitalized at the Affiliated Ganzhou Hospital of Nanchang University between December 2011 and January 2016. The patients were divided into two groups (stenosis and non-stenosis groups) based on whether the cerebral infarction was combined with cerebral artery stenosis or not. Clinical characteristics, related supplementary examination, and the imaging characteristics of cerebral infarction lesions were compared between the groups.</p><p>Results: Mean age [(75.73±8.46) years vs. (63.44±9.95) years], National Institute of Health stroke scale (NIHSS) score [(8.66±6.73) vs. (4.59±3.51)], CHA2DS2-VASc score [(2.93±1.40) vs. (0.96±0.98)], history of hypertension (74.4% vs. 30.0%), and history of stroke/ transient ischemic attack (TIA) (55.8% vs. 13.3%) were higher in the stenosis group (n=107) than in the non-stenosis group (n=65) (P＜0.01). In the stenosis group, there were different types of cerebral infarction lesions, including multiple infarction (multifocal type), massive infarction, watershed infarction, and lacunar infarction; in the non-stenosis group, the 60.0% lesions were multiple infarction (multifocal type), a significantly higher proportion than the stenosis group (26.2%, P＜0.05). NIHSS score was an independent risk factor for worse prognosis at follow-up (OR (95%CI) 1.251–1.674, P＜0.001).</p><p>Conclusions: Advanced age, hypertension, and stroke/TIA were increased in patients with cerebral infarction with nonvalvular atrial fibrillation combined with cerebral artery stenosis.</p>
Journal
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- Journal of Atherosclerosis and Thrombosis
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Journal of Atherosclerosis and Thrombosis 25 (8), 720-732, 2018-08-01
Japan Atherosclerosis Society
