Risk of stroke in patients with atrial flutter
Abstract
Using a Medicare-based retrospective cohort study, the stroke risk in patients with atrial flutter (RR = 1.41) was determined to be greater than that in a control group (RR = 1.00) but less than that in an atrial fibrillation group (RR = 1.64). Furthermore, patients with atrial flutter who subsequently had an episode of atrial fibrillation had a higher risk of stroke (RR = 1.56) than patients with atrial flutter who never had a subsequent episode of atrial fibrillation (RR = 1.11).
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Systemic embolism occurs in AFL about 30% as frequently as in AF, a difference that disappears when AFL is associated with AF episodes.
“Systemic embolism occurs in AFL about 30% as frequently as in AF, 168 -170 a difference that disappears when AFL is associated with AF episodes.”
From European Heart Rhythm Association (EHRA) consensus document on the management of supraventricular arrhythmias, endorsed by Heart Rhythm Society (HRS), Asia-Pacific Heart Rhythm Society (APHRS), and Sociedad Latinoamericana de Estimulacion Cardiaca y Electrofisiologia (SOLAECE) (2017) · cites this paper as [168]
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- Authors
- Biblo, L. A., Yuan, Z., Quan, K. J., Mackall, J. A., & Rimm, A. A.
- Affiliations
- MetroHealth (US)
- University Hospitals of Cleveland (US)
- Corresponding author
- Biblo, Lee A.
- ORCID
- Mackall, Judith A.
- Venue
- The American Journal of Cardiology
- Publisher
- Elsevier BV
- Published
- 2001-02
- Volume
- 87
- Issue
- 3
- Pages
- 346-349
- ISSN
- 0002-9149 (ISSN-L)
- OpenAlex
- W2084451000
- Cited by
- 160
- References
- 20
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 4 · 2023: 2 · 2022: 3 · 2021: 4 · 2020: 5 · 2019: 2 · 2018: 7 · 2017: 2 · 2016: 6 · 2015: 7 · 2014: 4 · 2013: 10 · 2012: 8
- FWCI
- 8.67
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The American Journal of Cardiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
- Health Sciences › Medicine › Epidemiology › Acute Ischemic Stroke Management
- Keywords
- atrial flutter, stroke risk, thromboembolism, atrial fibrillation, anticoagulation, oral anticoagulants, antiplatelet therapy, cardioversion
- MeSH terms
- Aged, Atrial Fibrillation, Atrial Flutter, Female, Medicare, Humans, Male, Patient Admission, Risk, United States, Stroke
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