Is the Pattern Changing? Atrial Fibrillation and Screening with Holter Electrocardiograms among Ischemic Stroke Patients in Greenland from 2016 to 2021
A standardized examination regime for ischemic stroke (IS) patients was implemented in Greenland in 2010. Prevalence of atrial fibrillation (AF) of 32% was found among discharged IS patients from 2011 to 2012, and our study aims to estimate the use of Holter ECGs for AF diagnostics and the current p...
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MDPI AG
2023
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ftdoajarticles:oai:doaj.org/article:87e3e2c73fae416e814d56d4b6ab5fc8 2023-09-26T15:15:07+02:00 Is the Pattern Changing? Atrial Fibrillation and Screening with Holter Electrocardiograms among Ischemic Stroke Patients in Greenland from 2016 to 2021 Nadja Albertsen Anne Sofie Hansen Nils Skovgaard Michael Lynge Pedersen Stig Andersen Sam Riahi 2023-08-01T00:00:00Z https://doi.org/10.3390/jcm12165378 https://doaj.org/article/87e3e2c73fae416e814d56d4b6ab5fc8 EN eng MDPI AG https://www.mdpi.com/2077-0383/12/16/5378 https://doaj.org/toc/2077-0383 doi:10.3390/jcm12165378 2077-0383 https://doaj.org/article/87e3e2c73fae416e814d56d4b6ab5fc8 Journal of Clinical Medicine, Vol 12, Iss 5378, p 5378 (2023) atrial fibrillation stroke Greenland Arctic Holter Inuit Medicine R article 2023 ftdoajarticles https://doi.org/10.3390/jcm12165378 2023-08-27T00:35:26Z A standardized examination regime for ischemic stroke (IS) patients was implemented in Greenland in 2010. Prevalence of atrial fibrillation (AF) of 32% was found among discharged IS patients from 2011 to 2012, and our study aims to estimate the use of Holter ECGs for AF diagnostics and the current prevalence of AF among IS patients in Greenland. Patients discharged from Queen Ingrid’s Hospital in Nuuk between 2016 and 2021 with an ICD-10 diagnosis of IS or stroke without specification were included. Data on Holter recordings, age, gender, medical treatment with rivaroxaban or warfarin, and ICD-10 and ICPC codes for AF were extracted for each patient. The overall incidence of IS from 2016 to 2021 was 133/100,000 and unchanged since 2012. Sixty-eight of the study’s IS patients (14.5%) had AF, and 46% of IS patients with Holter data accessible had a recording according to international recommendations. Our results indicate that fewer IS patients in Greenland have AF than previously. However, the insufficient use of Holter as a diagnostic tool may explain part of the drop, as well as improved preventive treatment with rivaroxaban among AF patients in Greenland. Regardless, IS remains common, and a focus on diagnostics and preventable risk factors should be maintained. Article in Journal/Newspaper Arctic Greenland inuit Nuuk Directory of Open Access Journals: DOAJ Articles Arctic Greenland Nuuk ENVELOPE(-52.150,-52.150,68.717,68.717) Journal of Clinical Medicine 12 16 5378 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
atrial fibrillation stroke Greenland Arctic Holter Inuit Medicine R |
spellingShingle |
atrial fibrillation stroke Greenland Arctic Holter Inuit Medicine R Nadja Albertsen Anne Sofie Hansen Nils Skovgaard Michael Lynge Pedersen Stig Andersen Sam Riahi Is the Pattern Changing? Atrial Fibrillation and Screening with Holter Electrocardiograms among Ischemic Stroke Patients in Greenland from 2016 to 2021 |
topic_facet |
atrial fibrillation stroke Greenland Arctic Holter Inuit Medicine R |
description |
A standardized examination regime for ischemic stroke (IS) patients was implemented in Greenland in 2010. Prevalence of atrial fibrillation (AF) of 32% was found among discharged IS patients from 2011 to 2012, and our study aims to estimate the use of Holter ECGs for AF diagnostics and the current prevalence of AF among IS patients in Greenland. Patients discharged from Queen Ingrid’s Hospital in Nuuk between 2016 and 2021 with an ICD-10 diagnosis of IS or stroke without specification were included. Data on Holter recordings, age, gender, medical treatment with rivaroxaban or warfarin, and ICD-10 and ICPC codes for AF were extracted for each patient. The overall incidence of IS from 2016 to 2021 was 133/100,000 and unchanged since 2012. Sixty-eight of the study’s IS patients (14.5%) had AF, and 46% of IS patients with Holter data accessible had a recording according to international recommendations. Our results indicate that fewer IS patients in Greenland have AF than previously. However, the insufficient use of Holter as a diagnostic tool may explain part of the drop, as well as improved preventive treatment with rivaroxaban among AF patients in Greenland. Regardless, IS remains common, and a focus on diagnostics and preventable risk factors should be maintained. |
format |
Article in Journal/Newspaper |
author |
Nadja Albertsen Anne Sofie Hansen Nils Skovgaard Michael Lynge Pedersen Stig Andersen Sam Riahi |
author_facet |
Nadja Albertsen Anne Sofie Hansen Nils Skovgaard Michael Lynge Pedersen Stig Andersen Sam Riahi |
author_sort |
Nadja Albertsen |
title |
Is the Pattern Changing? Atrial Fibrillation and Screening with Holter Electrocardiograms among Ischemic Stroke Patients in Greenland from 2016 to 2021 |
title_short |
Is the Pattern Changing? Atrial Fibrillation and Screening with Holter Electrocardiograms among Ischemic Stroke Patients in Greenland from 2016 to 2021 |
title_full |
Is the Pattern Changing? Atrial Fibrillation and Screening with Holter Electrocardiograms among Ischemic Stroke Patients in Greenland from 2016 to 2021 |
title_fullStr |
Is the Pattern Changing? Atrial Fibrillation and Screening with Holter Electrocardiograms among Ischemic Stroke Patients in Greenland from 2016 to 2021 |
title_full_unstemmed |
Is the Pattern Changing? Atrial Fibrillation and Screening with Holter Electrocardiograms among Ischemic Stroke Patients in Greenland from 2016 to 2021 |
title_sort |
is the pattern changing? atrial fibrillation and screening with holter electrocardiograms among ischemic stroke patients in greenland from 2016 to 2021 |
publisher |
MDPI AG |
publishDate |
2023 |
url |
https://doi.org/10.3390/jcm12165378 https://doaj.org/article/87e3e2c73fae416e814d56d4b6ab5fc8 |
long_lat |
ENVELOPE(-52.150,-52.150,68.717,68.717) |
geographic |
Arctic Greenland Nuuk |
geographic_facet |
Arctic Greenland Nuuk |
genre |
Arctic Greenland inuit Nuuk |
genre_facet |
Arctic Greenland inuit Nuuk |
op_source |
Journal of Clinical Medicine, Vol 12, Iss 5378, p 5378 (2023) |
op_relation |
https://www.mdpi.com/2077-0383/12/16/5378 https://doaj.org/toc/2077-0383 doi:10.3390/jcm12165378 2077-0383 https://doaj.org/article/87e3e2c73fae416e814d56d4b6ab5fc8 |
op_doi |
https://doi.org/10.3390/jcm12165378 |
container_title |
Journal of Clinical Medicine |
container_volume |
12 |
container_issue |
16 |
container_start_page |
5378 |
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1778136054775152640 |