Stroke is a leading cause of mortality and disability in Yemen and around the world. Cardio-embolism is responsible for nearly 30% of the origins of ischemic stroke. Objective: The purpose of this study was to determine the incidence cardio-embolic subtype. Material and Methods: The current study was done on 77 hospitalized patients who admitted as case of cardio-embolic ischemic stroke in Thamar governorate, Yemen. Cross-sectional study been conducted in Al_Wahada Teaching 2021 and available cases in internal /hospital and Dhamar hospital in academic year 2021medicine department in A Lwahada hospital, Dhamar hospital and Arryadah Hospital during period of study. Results: Of the 77 patients, 44 (57.10%) were male patients, and 33 (43.90%) were female, hypertension were the most common cause of cardio-embolism corresponding to (54.50%) followed by acute coronary syndrome (11.7%) and cardiomyopathy (7.8%), arrhythmia (3.9%) and infective endocarditis (1.3%) were the most common risk factors. Conclusion: The risk of stroke increases with age. In this study, Hypertension, Smoking, Shamma, were the main causes of cardio-embolism.
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Mujlli, H. , Huthi, M. A. A. , Jaid, D. , Haj, E. H. A. , Ahmed, E. K. and Al-Barakani, H. (2023). Pattern of Risk Factors of Cardioembolic Stroke in Dhamar Governorate Yemen. Open Access Library Journal, 10, e865. doi: http://dx.doi.org/10.4236/oalib.1110865.
Krishnamurthi, R.V., Feigin, V.L., Forouzanfar, M.H., Mensah, G.A., Connor, M., Bennett, D.A., Moran, A.E., Sacco, R.L., Anderson, L.M., Truelsen, T., O’Donnell, M., Venketasubramanian, N., Barker-Collo, S., Lawes, C.M., Wang, W., Shinohara, Y., Witt, E., Ezzati, M., Naghavi, M., Murray, C., Global Burden of Diseases IRFS and Group GBDSE (2013) Global and Regional Burden of First-ever Ischaemic and Haemorrhagic Stroke during 1990-2010: Findings from the Global Burden of Disease Study 2010. The Lancet Global Health, 1, e259-e281.
https://doi.org/10.1016/S2214-109X(13)70089-5
Hart, R.G., Diener, H.C., Coutts, S.B., Easton, J.D., Granger, C.B., O’Donnell, M.J., Sacco, R.L. and Connolly, S.J. (2014) Cryptogenic Stroke/ESUS International Working Group. Embolic Strokes of Undetermined Source: The Case for a New Clinical Construct. The Lancet Neurology, 13, 429-438.
https://doi.org/10.1016/S1474-4422(13)70310-7
Nishimura, R.A., Otto, C.M., Bonow, R.O., Carabello, B.A., Erwin, J.P., Guyton, R.A., O’Gara, P.T., Ruiz, C.E., Skubas, N.J., Sorajja, P., Sundt, T.M. and Thomas, J.D. (2014) ACC/AHA Task Force Members. 2014 AHA/ACC Guideline for the Management of Patients with Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation, 129, e521-e643. https://doi.org/10.1161/CIR.0000000000000031
Chugh, S.S., Havmoeller, R., Narayanan, K., Singh, D., Rienstra, M., Benjamin, E.J., Gillum, R.F., Kim, Y.H., McAnulty, J.H., Zheng, Z.J., Forouzanfar, M.H., Naghavi, M., Mensah, G.A., Ezzati, M. and Murray, C.J. (2014) Worldwide Epidemiology of Atrial Fibrillation: A Global Burden of Disease 2010 Study. Circulation, 129, 837-847. https://doi.org/10.1161/CIRCULATIONAHA.113.005119
Wolf, P.A., Abbott, R.D. and Kannel, W.B. (1991) Atrial Fibrillation as an Independent Risk Factor for Stroke: The Framingham Study. Stroke, 22, 983-988.
https://doi.org/10.1161/01.STR.22.8.983
Go, A.S., Hylek, E.M., Phillips, K.A., Chang, Y., Henault, L.E., Selby, J.V. and Singer, D.E. (2001) Prevalence of Diagnosed Atrial Fibrillation in Adults: National Implications for Rhythm Management and Stroke Prevention: The AnTicoagulation and Risk Factors in Atrial Fibrillation (ATRIA) Study. JAMA, 285, 2370-2375.
https://doi.org/10.1001/jama.285.18.2370
Ambrosy, A.P., Fonarow, G.C., Butler, J., Chioncel, O., Greene, S.J., Vaduganathan, M., Nodari, S., Lam, C.S., Sato, N., Shah, A.N. and Gheorghiade, M. (2014) The Global Health and Economic Burden of Hospitalizations for Heart Failure: Lessons Learned from Hospitalized Heart Failure Registries. Journal of the American College of Cardiology, 63, 1123-1133. https://doi.org/10.1016/j.jacc.2013.11.053
Chen, J., Normand, S.L., Wang, Y. and Krumholz, H.M. (2011) National and Regional Trends in Heart Failure Hospitalization and Mortality Rates for Medicare Beneficiaries, 1998-2008. JAMA, 306, 1669-1678.
https://doi.org/10.1001/jama.2011.1474
Blecker, S., Paul, M., Taksler, G., Ogedegbe, G. and Katz, S. (2013) Heart Failure—Associated Hospitalizations in the United States. Journal of the American College of Cardiology, 61, 1259-1267. https://doi.org/10.1016/j.jacc.2012.12.038
Lip, G.Y. and Gibbs, C.R. (1999) Does Heart Failure Confer a Hypercoagulable State? Virchow’s Triad Revisited. Journal of the American College of Cardiology, 33, 1424-1426.
Amarenco, P., Davis, S., Jones, E.F., Cohen, A.A., Heiss, W.D., Kaste, M., Laouénan, C., Young, D., Macleod, M. and Donnan, G.A. (2014) Aortic Arch Related Cerebral Hazard Trial Investigators. Clopidogrel plus Aspirin versus Warfarin in Patients with Stroke and Aortic Arch Plaques. Stroke, 45, 1248-1257.
https://doi.org/10.1161/STROKEAHA.113.004251
Benavente, O.R., Hart, R.G., McClure, L.A., Szychowski, J.M., Coffey, C.S. and Pearce, L.A. (2012) Effects of Clopidogrel Added to Aspirin in Patients with Recent Lacunar Stroke. The New England Journal of Medicine, 367, 817-825.
https://doi.org/10.1056/NEJMoa1204133