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© 1986 Oxford University Press

research-article

ATRIAL FIBRILLATION AND STROKE IN ELDERLY HOSPITALIZED PATIENTS*

A. S. TRESEDER, Senior Registrar in Geriatric Mediane{dagger}, B. S. D. SASTRY, Consultant Physician in Geriatric Medicine, T. P. L. THOMAS, Consultant Physician in Geriatric Medicine, M. A. YATES, Formerly Research Officer and M. L. J. PATHY, Professor of Geriatric Medicine

Cardiff Royal Infirmary Cardiff
Bryntirion Hospital Linelli
Department of Geriatric Medicine, Cardiff Royal Infirmary

{dagger}Present appointment: Consultant Physician in Geriatric Medicine, Morriston Hospital, Swansea.

Of 4100 consecutive admissions to the Department of Geriatric Medicine, 414 patients (10.1%) were identified as having atrial fibrillation (AF); 138 (33%) had transient AF and 276 (67%) had constant AF. In the constant group, 41.7% of patients had had a stroke compared with 26.8% in the transient group (P<0.01).

A random sample of 200 patients in sinus rhythm from the 4100 admissions had a stroke prevalence of 19%.

This study suggests that constant AF has a greater association with stroke than transient AF.


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