The Interaction of Cardiac IEDs and Patent Foramen Ovale in Ischemic Stroke

By DocWire News Editors - Last Updated: January 9, 2019

Researchers for this paper hypothesized that the presence of a cardiac implantable electronic device (IED) would magnify the relationship between patent foramen ovale (PFO) and ischemic stroke. They included 7,089 (51% female) consecutive first ischemic stroke patients admitted to a single center and enrolled in a prospectively managed stroke registry over a 9 year period. Their results shoed that echocardiography diagnosed PFO in 10,7% and cardiac IED was reported on chest radiography in 10.6% of patients. The prevalence of cardiac IED was lower in the PFO group compared to controls (8.0% vs. 10.9%, respectively; P=0.015). The authors concluded that “we did not find a higher prevalence of CIED in patients with PFO compared to controls,” and that therefore the presence of CIED did not increase the PFO‐associated ischemic stroke risk.”

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Agboola K, et al. Pacing Clin Electrophysiol. 2019;doi:10.1111/pace.13599

https://onlinelibrary.wiley.com/doi/abs/10.1111/pace.13599

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