London, United Kingdom 2013 Poster Session Red Cerebrovasc Dis 2013; 35 (suppl 3)1-854 429 269 Etiology of stroke and risk factors Feasibility and sensibility of daily transtelephonic EKG monitoring to detect paroxysmal atri-al fibrillation in a selected population of stroke patients P.C. Lavallée1, H Benchimol2, J Labreuche3, E Meseguer4, M Mazighi5, C Guidoux6, L Cabrejo7, P Amarenco8 INSERM U-698, department of neurology and stroke center, AP-HP, Bichat-Claude Ber-nard Hospital, Univ Paris Diderot, Sorbonne Paris Cité, F-75018,, Paris, FRANCE1, CHG de Saintes, Saintes, FRANCE2, INSERM U-698, department of neurology and stroke center, AP-HP, Bichat-Claude Bernard Hospital, Univ Paris Diderot, Sorbonne Paris Cité, F-75018,, Paris, FRANCE3, INSERM U-698, department of neurology and stroke center, AP-HP, Bichat-Claude Bernard Hospital, Univ Paris Diderot, Sorbonne Paris Cité, F-75018,, paris, FRANCE4, INSERM U-698, department of neurology and stroke center, AP-HP, Bichat-Claude Bernard Hospital, Univ Paris Diderot, Sorbonne Paris Cité, F-75018,, Paris, FRANCE5, INSERM U-698, department of neurology and stroke center, AP-HP, Bichat-Claude Bernard Hospital, Univ Paris Diderot, Sorbonne Paris Cité, F-75018,, Paris, FRANCE6, INSERM U-698, department of neurology and stroke center, AP-HP, Bichat-Claude Bernard Hospital, Univ Paris Diderot, Sorbonne Paris Cité, F-75018,, Paris, FRANCE7, INSERM U-698, department of neurology and stroke center, AP-HP, Bichat-Claude Ber-nard Hospital, Univ Paris Diderot, Sorbonne Paris Cité, F-75018,, Paris, FRANCE8 Background: Diagnosis of paroxysmal atrial fibrillation (PAF) after a stroke is particularly import-ant to prevent recurrence but remains very challenging. We assessed the feasibility and sensibility of daily transtelephonic EKG monitoring (TTEM) to detect PAF in patients with a recent cryptogenic stroke. Methods : We retrospectively analyzed the data of all consecutive patients hospitalized in our department between December 2008 and October 2011 for an acute stroke and had a prescription of TTEM for suspicion of PAF. Patients were asked to self-record EKG twice a day for 2 months. Results : 74/93 patients (79.6 %) actually performed the TTEM. Performing TTEM was more fre-quent in patients older than 60 years old (p = 0.046) and patients with hypertension (p = 0.011) and hypercholesterolemia (p = 0.016). Among them, previous in-hospital ECG, 24-hour Holter ECG and continuous hospital telemetry were performed in 97, 58 and 78 % of the cases, respectively and were negative for PAF. 92 % of patients had a Rankin score ≤1. Only 30 % (N=22) of the patients performed ≥80% of all planned ECG and 43% performed < 50% planned ECG. Despite of that, PAF was detected in 9.5% (N=7) of the cases. Presence of premature atrial ectopic beat salve was asso-ciated with PAF detection (p=0.024). Conclusion: TTEM is an interesting tool for PAF detection in selected patients with a recent non-disabling stroke. However efforts should be made to improve pa-tient observance. Further studies are required to determine its role among other cardiac monitoring methods. 270 Etiology of stroke and risk factors Personal anxiety and 16-years risk of stroke in female population aged 25-64 years in Russia V.V. Gafarov1, D.O. Panov2, E.A. Gromova3, I.V. Gagulin4, A.V. Gafarova5 Collaborative laboratory of cardiovascular diseases epidemiology SB RAMS, Novosibirsk, RUSSIAN FEDERATION1, Institute of internal medicine SB RAMS, Novosibirsk, RUSSIAN FEDERATION2, Institute of internal medicine SB RAMS, Novosibirsk, RUSSIAN FEDERA-TION3, Collaborative laboratory of cardiovascular diseases epidemiology SB RAMS, Novosibirsk, RUSSIAN FEDERATION4, Collaborative laboratory of cardiovascular diseases epidemiology SB RAMS, Novosibirsk, RUSSIAN FEDERATION5 Background: The aim is determine the influence of personal anxiety on risk of stroke in female population of 25-64 years in Russia. Methods: Under the third screening of the WHO “MONI-CA- psychosocial” program random representative sample of women aged 25-64 years (n=870) were surveyed in Novosibirsk in 1994. Levels of personal anxiety were measured at the baseline exam-ination by means of Spilberger’s test. From 1995 to 2010 women were followed for 16 years for the incidence of stroke. Cox proportional regression was used for relative risk (HR) assessment. Re-sults: High level of anxiety (HLA) in studied cohort revealed in 60.4% of women. Stroke was devel-oped in 5.1% women over 16 years of follow up. HR of stroke incidence over 16 years of the study was in 3.5-fold higher (95.0%CI:1.020-12.015;p<0.05) in women with HLA than without it. There were tendencies of increasing rates of stroke incidence in married women with incomplete higher/ vocational and high-school education having HLA. Significant differences in stroke rates were in heavy manual laborers (χ2=7.33 df=1 p<0.01) and moderate manual laborers (χ2=4.52 df=1 p<0.05) with HLA. As the tendency executive managers with HLA more likely to develop a stroke compare to those with lower anxiety levels. Conclusions: There is high prevalence of HLA in Russian female population aged 25-64. Over 16 years of follow-up women with HLA have significantly higher risk of stroke, especially married women in both executive and manual occupational class.
Karger_ESC London_2013
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