Autoimmune dermatological disorders are associated with increased risk of developing atrial fibrillation - a case control study

Poster Session 6: no. P1389This journal suppl. entitled: EHRA EUROPACE 2013, 23 Jun 2013–26 Jun 2013, Athens–Greece, AbstractsBACKGROUND: Atrial fibrillation (AF) is the most common sustained arrhythmia worldwide. However, its pathogenesis is multifactorial and not completely understood. Previous studies have shown that autoantibodies are present in some patients with AF, raising the possibility of an autoimmune etiology. In this study we sought to investigate the association between autoimmune dermatological disorders (ADD) and AF ...postprin

Cardioembolic Stroke in Atrial Fibrillation-Rationale for Preventive Closure of the Left Atrial Appendage

Atrial fibrillation is the most common cardiac arrhythmias, and a major cause of morbidity and mortality due to cardioembolic stroke. The left atrial appendage is the major site of thrombus formation in non-valvular atrial fibrillation. Loss of atrial systole in atrial fibrillation and increased relative risk of associated stroke point strongly toward a role for stasis of blood in left atrial thrombosis, although thrombus formation is multifactorial, and much more than blood flow irregularities are implicated. Oral anticoagulation with vitamin-K-antagonists is currently the most effective prophylaxis for stroke in atrial fibrillation. Unfortunately, this treatment is often contraindicated, particularly in the elderly, in whom risk of stroke is high. Moreover, given the risk of major bleeding, there is reason to be skeptical of the net benefit when warfarin is used in those patients. This work reviews the pathophysiology of cardioembolic stroke and critically spotlights the current status of preventive anticoagulation therapy. Various techniques to exclude the left atrial appendage from circulation were discussed as a considerable alternative for stroke prophylaxis