Framingham stroke risk score
Common Questions and Answers about Framingham stroke risk score
stroke
Conventional wisdom uses a mixture of risk factors (sex, blood pressure, cholesterol, ECG, diabetes, smoking) known as the Framingham risk score to predict risk of cardiovascular disease. This study in Holland of several hundred elderly people with no history of cardiovascular disease measured these conventional risk factors, and also potential new indicators namely folic acid, homocysteine, C reactive protein and interleukin 6, over a five year period.
for people younger than 65 years with no risk factors the untreated annual risk of stroke is about 1%, whereas with one or more risk factors it is about 5%; for people aged 65-75 years with no risk factors the annual risk of stroke is about 4%, and with one or more risk factors it is about 6% per year; and for people older than 75 years with no risk factors the risk of stroke is about 3%-4%, whereas with one or more risk factors it is about 8% (see Box 2) (E1).7,26
from http://www.mja.com.
The rsik of stroke is higher when in Afib than when not. However, for true statistics, i recommend you look on the american heart association website under their entry for a-fib. Being on blood thinner is the right course of action. Talk to a professional about the true risk differential. Best wishes.
I should mention that it doesn't matter that you are now in normal sinus ryhthm with sotalol. You now have an increased risk of stroke. Once you have had afib, even once, the risk becomes significant and can't be ignored.
From the journal of atrial fibrillation:
"The risk of stroke increases whether the lone atrial fibrillation was an isolated episode, recurrent, or chronic.
Thank you very much for your comments. I used the Framingham calculator and the Reynolds Risk score. My risk for both results were 1%, so no difference for the more recent numbers. My blood pressure is 108/78 (no medication.) No big weight loss recently. I lost the two pounds I put on over the holidays, but that's it.
Atrial fibrillation is linked to an increased risk of stroke. The most common mechanism is sluggish blood flow in the atria which then leads to the formation of blood clots. These blood clots form in the atria and can migrate from the heart to the brain to cause a stroke. There are five major predictors of stroke in patients with AFib.
Did the Chas2 score and my husband has 0 points so his risk is 1.8% of having a stroke. He does remember the DR. saying that his Chas score put him at the lowest risk but could change when he reaches 75. I had forgotten about that being said so went and found the test on line. Like I said earlier, he has no symptoms or episodes--didn't even know he had it. He does take asprin daily, cod liver oil and many vitamins and has the blood work of a much younger man .
Because if there is no sign of ischemia through stress, then they will not authorize a risk associated procedure. If there is no sign of ischemia I'm sure you wouldn't want to risk a heart attack or stroke through having a cath?
Aspirin therapy for prevention of blood clots is far inferior to Coumadin, but may be appropriate, I understand, if there are no other risk factors - and if the AFib is not chronic.
I take both... yes, while one must avoid aspirin when on Coumadin for the treatment of pain/fever/swelling, in small dose it can be taken for added cardio protection. It affects a different mechanism of the blood than does Coumadin.
We want to follow these people for 10 years and see whether they have an event rate similar to that of a high-risk Framingham population."
Murphy is proposing just such a study. "Once we present these data, we want to get the study funded through the National Heart, Lung, and Blood Institute," he said. "We also are collecting data on a new population, which we can follow in a longitudinal study.
CAD is a syndrome that almost always has occluded vessels and/or soft plaque within the lining of the arteries at with that condition there is a high risk of heart attack or stroke. The soft plaque breaks through lining into the vessle channel (lumen) and sometimes the hard plaque within the lumen breaks away causing heart attacks or stroke.
Sometimes a clot occurs within the left upper chamber and that clot can cause heart attack or stroke....but that isn't considered CAD..
Usually there is very low risk of cardiovascular risk such as a stroke in this population; however, it should not be completely ignored.
I recommend at least an echocardiogram to confrim heart muscle and valve function (if not already done), AND a holter monitor to confirm his "afib burden", ie.find out how much atrial fib he is really having -- those he can and cannot feel.
If after these tests are done he truly is CHADS2VaSC = 0, risk of stroke is very low at 0.
I would to need to know what it was referencing. I could be the number calculated from the Framingham risk calculator but 6.31 would be 6.1 out of 100, which is too low for a 93 year old. Did his doctor mention anything else with this number?
Drinking more than one soft drink a day seems to be associated with a substantially increased risk of heart disease, according to a study published last recently in the journal of the American Heart Association.
It showed that in those who drink one or more soft drinks daily, there was an association of increased risk of developing metabolic syndrome.
This shows that habitual consumption of chocolate is related to a lower risk of heart disease and stroke that is partly explained by blood-pressure reduction. The risk reduction is stronger for stroke than for MI, which is logical because it appears that chocolate and cocoa have a pronounced effect on BP, and BP is a higher risk factor for stroke than for MI." Buijsse and colleagues report their findings online March 31, 2010 in the European Heart Journal.
My mother-in-law suffered a hemorrhagic stroke and as part of her treatment she was placed in a drug induced coma. The sedation has been removed for over three weeks and she is still "sleeping." There is also considerable swelling in the brain and the response to medication is insignificant so far. The doctors discussed with my husband that the side of her brain affected by the stroke is completely dead and the real possibility that she may never walk or talk again.
Having had Afib for 10 years and having had it progress, I would say you might want to have the chads2 score calculated and have your risk of clotting determined. You may be at risk for stroke. Also, afib that is not treated may lead to heart failure in the long run. I would certainly consult an EP and learn what your options are and what to expect if your afib is untreated. I think an ablation is premature -- sounds like you are doing well and your quality of life is good.
My urologist sprang a surprise on me that a PCA3 urine test came out positive (score 61.3) and I should consider getting a biopsy. This happened because I recently experienced pain at the base of penis. A barium catscan showed the presence of a 2mm stone lodged in my bladder. All other abdomen parts were normal. Could the test results be false positive; the recent pain in penis was a result of bladder stone; and with only a moderate history of BPH, I cannot be a candidate for biopsy.
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