P3348Prevention of stroke in intracerebral haemorrhage survivors with atrial fibrillation (PRESTIGE-AF): a retrospective cohort study
Abstract Background Atrial fibrillation (AF) patients surviving an intracerebral haemorrhage (ICH) present a clinical challenge. The PRESTIGE-AF trial is an ongoing trial designed to investigate the optimal stroke prevention strategy in AF patients who have suffered an ICH. Purpose To describe basel...
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Veröffentlicht in: | European heart journal 2019-10, Vol.40 (Supplement_1) |
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Sprache: | eng |
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Zusammenfassung: | Abstract
Background
Atrial fibrillation (AF) patients surviving an intracerebral haemorrhage (ICH) present a clinical challenge. The PRESTIGE-AF trial is an ongoing trial designed to investigate the optimal stroke prevention strategy in AF patients who have suffered an ICH.
Purpose
To describe baseline clinical characteristics of a study population similar to the expected PRESTIGE-AF trial.
Methods
The patient population was identified from the Danish Stroke Registry, linked with additional registries to obtain information on comorbidities and medication. Specific incl/excl criteria from the PRESTIGE-AF trial were applied, including indication for OAC treatment due to AF and the ICH was not related to trauma.
Results
From 2003–2015 a total of 1405 patients with AF and ICH were included, mean age of 79.4 years [Table]. 40% had suffered a “mild” index ICH, and approximately 25% had a “moderate” or a “severe” index event based on the SSS score. Hypertension (75%) and prior thromboembolic events (33%) were common comorbidities. In the year before the index ICH, 27% recieved antiplatelet therapy, 34% OAC, and 22% receiving both treatments.
Table 1
Demographics and clinical characteristics
Percent (number)
Number of patients
1,405
Females
695 (49.5)
Age, mean (SD)
79.4 (8.8)
Scandinavian Stroke Scale*, median (IQR)
40.0 (22.0–50.0)
“Mild” intracerebral haemorrhage (43–58)
563 (40.1)
“Moderate” intracerebral haemorrhage (26–42)
377 (26.8)
“Severe” intracerebral haemorrhage ( |
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ISSN: | 0195-668X 1522-9645 |
DOI: | 10.1093/eurheartj/ehz745.0224 |