Stroke and Atrial Fibrillation in Dialysis Population

by, MD. Fjona NASTO, MD. Arjeta DEDEJ, Prof. Dr. Nestor THERESKA,

Abstract

Te dialysis population have a risk 5-10 fold higher for developing cardiovascular disease than age matched controls. Patients in dialysis have a risk for stroke 10 time more then the general population. Cardio-embolic stroke in dialysis population count a high percentage perhaps of the increased prevalence of atrial fbrillation. Methods: A search in the literature for diferent study who combined AF with chronic Kidney disease, dialysis and stroke. We compare it with our fndings in a retrospective study from November 2008 to December 2019 which included 1732 patients. From analyzed data, 70 patients experienced a cerebrovascular event during this period. we compared data with a control group of 70 patients without stroke. Results: In our study 1732 patients who was treated in American Hospital during November 2008-december 2019 were observed. 70 patients had a cerebro-vascular 81 MEDICUS / NO. 3, 2020 accident (CVA). In 16 patients who experienced CVA, AF was present. In the control group AF was present in 7 patients. Discussion: In diferent study the presence of AF at baseline it’s more associated with a high mortality but there are no clear evidence of association between the presence of AF and stroke. Te presence of AF represents a marker of comorbidity and advanced age rather then a cause of mortality. Its possible that hemodialysis –related AF may carry a lower risk of stroke than AF in general population.