Recurrencia de enfermedad cerebrovascular isquémica en pacientes con fibrilación auricular en el Hospital de Especialidades Teodoro Maldonado Carbo en el período 2017 – 2018.

Abstract

Introduction: In 2020, there were 7.08 million deaths in the world caused by cerebrovascular disease (CVD), of which 3.48 million were from ischemic causes. Atrial fibrillation (AF) is an important independent risk factor for the development of ischemic-type cerebrovascular disease. Objective: Determine stroke recurrence in patients with atrial fibrillation. Materials and methods: An observational and retrospective study is carried out, including all patients with a history of atrial fibrillation and ischemic cerebrovascular disease admitted to the Teodoro Maldonado Carbo Specialty Hospital in the period 2017 - 2018. Results: A population was included. total of 62 patients, of whom 41 (66.1%) did not present a new stroke and 21 (33.9%) did. The average age of patients without stroke recurrence was 71 years and of those with recurrent CVD, 79 years; statistically significant difference. The risk factor that was most present was arterial hypertension, being present in 100% of the patients who presented a new stroke, with a p value of 0.204. In addition, it was found that the patients who had CVD recurrence, 76.2% died. Conclusions: Stroke recurrence in patients with atrial fibrillation was 33.9% and is related to a high score on the CHA2DS2 – VASc scale and a high thromboembolic risk in a 12-month period.