Fjona Nasto
Amerikan Hospital Tirane, Albania
Title: Stroke and atrial fibrillation in dialysis population
Biography
Biography: Fjona Nasto
Abstract
Introduction: The dialysis population have a risk 5-10 fold higher for developing cardiovascular disease than age matched controls. Patients in dialysis have a risk for stroke 10 time more than the general population. Cardio-embolic stroke in dialysis population count a high percentage perhaps of the increased prevalence of atrial fibrillation.
Methods: A search in the literature for different study who combined AF with chronic Kidney disease, dialysis and stroke. We compare it with our findings in a retrospective study from November 2008 to december 2019 wich included 1732 patients. From analysed data, 70 patients experienced a cerebrovascular event during this period. we compared data with a control group of 70 patients without stroke.
Results: In our study 1732 patients who was treated in Amerikan Hospital during november 2008-december 2019 were observed. 70 patients had a cerebro-vascular accident (CVA). In 16 patients who experienced CVA, AF was present. In the control group AF was present in 7 patients.
Discussion: In different study the presence of AF at baseline it’s more associated with a high mortality but there are no clear evidence of association between the presence of AF and stroke. The presence of AF represents a marker of comorbidity and advanced age rather than a cause of mortality. It’s possible that hemodialysis –related AF may carry a lower risk of stroke than AF in general population.