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Stroke, Vol 19, 955-957, Copyright © 1988 by American Heart Association

ARTICLES

Asymptomatic cerebral infarction in patients with chronic atrial fibrillation

PA Kempster, RP Gerraty and PC Gates
Department of Neurology, St. Vincent's Hospital, Melbourne, Australia.

A retrospective analysis of 54 patients with atrial fibrillation presenting with symptoms of cerebral ischemia between 1980 and 1985 was performed. Seven patients (13%) had computed tomographic evidence of previous, clinically silent cerebral infarction. In a control group of 168 persons (studied prospectively) in sinus rhythm presenting with symptoms of cerebral ischemia, seven (4%) had computed tomographic evidence of previous, clinically silent cerebral infarction (p less than 0.05). In those patients with atrial fibrillation all infarcts were peripheral and consistent with embolism, while in three of the seven patients in sinus rhythm the asymptomatic infarcts were lacunes.

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