Original Article

IJMDC. 2022; 6(2): 333-339

Prevalence of atrial fibrillation among Saudi patients who had stroke: a retrospective cross-sectional study at a university hospital

Authors: Abdullah S. AlAmri, Abdullah M. AlShehri, Razan Z. AlShammari, Raghdah A. AlAmri, Latifah A. AlMulhim, Manar F. AlGhamdi.

ABSTRACT

Background: Atrial fibrillation (AF) is a known risk factor for ischemic stroke. The prevalence of AF among patients with stroke varies between 17% and 46%. Thus, this study examined the prevalence of AF among Saudi patients who had a stroke and presented to King Fahd Hospital of the University (KFHU) and evaluated AF-related factors. Methods: This retrospective cohort study was conducted through the electronic medical charts of all Saudi adult patients of both sexes who presented to KFHU with ischemic stroke between January 2017 and July 2020. Patients diagnosed with AF were included in the study. Results: Of the 391 patients who had a stroke, 275 were adult Saudis. Thirty-seven patients (13.45%) were diagnosed with AF. AF was evident on ECG in 29 patients and on Holter monitoring in 5 patients. Women showed a higher prevalence of AF (8%) than men (5.45%). Older age, congestive heart failure, valvular heart disease, left ventricular, and left atrial dilatation were significantly associated with AF. Among AF patients, anterior circulation strokes were more common than posterior circulation strokes (17.3% and 8.3%, respectively). Conclusion: The prevalence of AF among patients who had an ischemic stroke was lower than that in international publications. A nationwide prospective multicenter study is warranted to obtain more representative results.

Keywords:
Ischemic stroke, atrial fibrillation, Saudis, ECG, Holter monitor.


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Prevalence of atrial fibrillation among Saudi patients who had stroke: a retrospective cross-sectional study at a university hospital


Authors
Abdullah S AlAmri
Department of Neurology, King Fahd Hospital of the University, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
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Abdullah M AlShehri
Department of Cardiology, King Fahd Hospital of the University, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
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Razan Z AlShammari
College of Medicine, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia
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Raghdah A AlAmri
College of Medicine, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia
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Latifah A AlMulhim
College of Medicine, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia
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Manar F AlGhamdi
College of Medicine, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia.
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Correspondence to:
. Razan Zeyad AlShammari, College of Medicine, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia.; Rznzeyad@gmail.com

Publication history
Received 17 Dec 2021
Accepted 22 Dec 2021
Published online 30 Dec 2021
Published in print 19 Jan 2022

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Pubmed Style

AlAmri AS, AlShehri AM, AlShammari RZ, AlAmri RA, AlMulhim LA, AlGhamdi MF. Prevalence of atrial fibrillation among Saudi patients who had stroke: a retrospective cross-sectional study at a university hospital. IJMDC. 2022; 6(2): 333-339. doi:10.24911/IJMDC.51-1639698513


Web Style

AlAmri AS, AlShehri AM, AlShammari RZ, AlAmri RA, AlMulhim LA, AlGhamdi MF. Prevalence of atrial fibrillation among Saudi patients who had stroke: a retrospective cross-sectional study at a university hospital. https://www.ijmdc.com/?mno=72109 [Access: May 25, 2022]. doi:10.24911/IJMDC.51-1639698513


AMA (American Medical Association) Style

AlAmri AS, AlShehri AM, AlShammari RZ, AlAmri RA, AlMulhim LA, AlGhamdi MF. Prevalence of atrial fibrillation among Saudi patients who had stroke: a retrospective cross-sectional study at a university hospital. IJMDC. 2022; 6(2): 333-339. doi:10.24911/IJMDC.51-1639698513


Vancouver/ICMJE Style

AlAmri AS, AlShehri AM, AlShammari RZ, AlAmri RA, AlMulhim LA, AlGhamdi MF. Prevalence of atrial fibrillation among Saudi patients who had stroke: a retrospective cross-sectional study at a university hospital. IJMDC. (2022), [cited May 25, 2022]; 6(2): 333-339. doi:10.24911/IJMDC.51-1639698513


Harvard Style

AlAmri, A. S., AlShehri, . A. M., AlShammari, . R. Z., AlAmri, . R. A., AlMulhim, . L. A. & AlGhamdi, . M. F. (2022) Prevalence of atrial fibrillation among Saudi patients who had stroke: a retrospective cross-sectional study at a university hospital. IJMDC, 6 (2), 333-339. doi:10.24911/IJMDC.51-1639698513


Turabian Style

AlAmri, Abdullah S., Abdullah M. AlShehri, Razan Z. AlShammari, Raghdah A. AlAmri, Latifah A. AlMulhim, and Manar F. AlGhamdi. 2022. Prevalence of atrial fibrillation among Saudi patients who had stroke: a retrospective cross-sectional study at a university hospital. International Journal of Medicine in Developing Countries, 6 (2), 333-339. doi:10.24911/IJMDC.51-1639698513


Chicago Style

AlAmri, Abdullah S., Abdullah M. AlShehri, Razan Z. AlShammari, Raghdah A. AlAmri, Latifah A. AlMulhim, and Manar F. AlGhamdi. "Prevalence of atrial fibrillation among Saudi patients who had stroke: a retrospective cross-sectional study at a university hospital." International Journal of Medicine in Developing Countries 6 (2022), 333-339. doi:10.24911/IJMDC.51-1639698513


MLA (The Modern Language Association) Style

AlAmri, Abdullah S., Abdullah M. AlShehri, Razan Z. AlShammari, Raghdah A. AlAmri, Latifah A. AlMulhim, and Manar F. AlGhamdi. "Prevalence of atrial fibrillation among Saudi patients who had stroke: a retrospective cross-sectional study at a university hospital." International Journal of Medicine in Developing Countries 6.2 (2022), 333-339. Print. doi:10.24911/IJMDC.51-1639698513


APA (American Psychological Association) Style

AlAmri, A. S., AlShehri, . A. M., AlShammari, . R. Z., AlAmri, . R. A., AlMulhim, . L. A. & AlGhamdi, . M. F. (2022) Prevalence of atrial fibrillation among Saudi patients who had stroke: a retrospective cross-sectional study at a university hospital. International Journal of Medicine in Developing Countries, 6 (2), 333-339. doi:10.24911/IJMDC.51-1639698513


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