🗞Medical Articles
Topic: Atrial Fibrillation and Retinal Stroke
Study Details: A retrospective cohort study analyzed a 5% sample of U.S. Medicare beneficiaries (≥66 years) from 2000 to 2020, including 545,072 patients with atrial fibrillation (AF) and matched controls. Follow-up continued until death, loss of Medicare coverage, or study period end.
Results: AF patients had a higher retinal stroke incidence (0.55 vs. 0.50 per 1000 person-years; HR 1.14, 95% CI 1.02–1.28) and a significantly increased risk of cerebral ischemic stroke (HR 1.73). AF was not linked to central retinal vein occlusion but was associated with UTI, cataract, and humeral fracture.
Clinical Impact: AF is modestly associated with an increased risk of retinal stroke. Clinicians should consider this risk in older AF patients and include retinal stroke prevention in care strategies.
Link: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2828867
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Topic: Atrial Fibrillation and Retinal Stroke
Source: JAMA Network
Study Details: A retrospective cohort study analyzed a 5% sample of U.S. Medicare beneficiaries (≥66 years) from 2000 to 2020, including 545,072 patients with atrial fibrillation (AF) and matched controls. Follow-up continued until death, loss of Medicare coverage, or study period end.
Results: AF patients had a higher retinal stroke incidence (0.55 vs. 0.50 per 1000 person-years; HR 1.14, 95% CI 1.02–1.28) and a significantly increased risk of cerebral ischemic stroke (HR 1.73). AF was not linked to central retinal vein occlusion but was associated with UTI, cataract, and humeral fracture.
Clinical Impact: AF is modestly associated with an increased risk of retinal stroke. Clinicians should consider this risk in older AF patients and include retinal stroke prevention in care strategies.
Link: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2828867
@HakimApps_Guideline