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Paroxysmal Atrial Fibrillation:High Frequency of Embolic Brain Infarction in Elderly Autopsy Patient
Neurol 49:1691-1694, Yamanouchi,H.,et al, 1997
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Article Abstract
We examined brains clinicopathologically from 54 consecutive paroxysmal atrial fibrillation(PAF)patients aged 70 years or older and compared them with those of 59 age-matched controls.Symptomatic cerebral infarctions were present in 29 PAF patients(53.7%)and in 13 controls(22.0%)(P<0.001). Symptomatic brain infarction was 2.4 times more common in PAF cases than in PAF-free controls;approximately 60%of the infarctions in the PAF cases were judged to be cardioembolic in origin.PAF in the elderly can be an important cause for cardiogenic cerebral embolism.
 
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asymptomatic
atrial fibrillation
atrial fibrillation,paroxysmal
cerebral embolism
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cerebrovascular accident
cerebrovascular accident,silent
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neuropathology
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