1. Premature atrial complexes can predict atrial fibrillation in ischemic stroke patients: A systematic review and meta‐analysis
- Author
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Jingyi Sun, Donghui Yang, Jing Xu, Xin Gong, and Yirao Tao
- Subjects
medicine.medical_specialty ,business.industry ,education ,Atrial fibrillation ,Subgroup analysis ,General Medicine ,Odds ratio ,medicine.disease ,Asymptomatic ,Confidence interval ,PREMATURE ATRIAL COMPLEXES ,Risk Factors ,Internal medicine ,Meta-analysis ,Atrial Fibrillation ,medicine ,Humans ,Atrial Premature Complexes ,medicine.symptom ,Cardiology and Cardiovascular Medicine ,business ,Stroke ,Ischemic Stroke - Abstract
Background and Purpose : Several studies have explored premature atrial complexes (PACs) as high-risk factors for atrial fibrillation (AF) in ischemic stroke patients; however, the results were controversial. The aim of this systematic review and meta-analysis was to examine whether PACs can predict AF in ischemic stroke patients. Methods : We comprehensively searched the published literature in PubMed, Embase, and Wiley-Cochrane library databases from inception through 18th August 2020. Pooled odds ratios (ORs) and 95% confidence intervals (CIs) were analyzed by the fixed-effect model or the random-effect model based on heterogeneity. Results : We identified 12 eligible studies including 2340 stroke patients with a mean age of 65.9 years. PACs were highly associated with AF occurrence in stroke (pooled OR: 4.16, 95% CI: 3.06-5.65) and cryptogenic stroke patients (pooled OR: 3.72, 95% CI: 2.66-5.20). Subgroup analysis showed PAC presence and frequent PACs were correlated with stroke in AF patients (pooled OR: 3.72, 95% CI:1.65-8.36 and pooled OR: 5.12, 95% CI: 3.12-8.41, respectively). Frequent PACs were identified as the risks for asymptomatic AF (OR: 6.18, 95% CI: 3.23-11.83) and future AF occurrence (OR: 3.71, 95% CI: 2.62-5.26) in stroke patients. The definition of frequent PACs was inconsistent, and was more than 70 beats/24 hours based on Holter monitoring. Conclusions : PACs confer high risks for asymptomatic AF and future AF occurrence in stroke patients. This article is protected by copyright. All rights reserved
- Published
- 2021
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