May 2022 Br J Cardiol 2022;29:46–51 doi:10.5837/bjc.2022.015
David Muggeridge, Kara Callum, Lynsey Macpherson, Nick Howard, Claudia Graune, Ian Megson, Adam Giangreco, Susan Gallacher, Linda Campbell, Gethin Williams, Ashish Macaden, Stephen J Leslie
Introduction Cerebrovascular disease is a major cause of disability and mortality in adults worldwide.1 Patients can present with a stroke or transient ischaemic attack (TIA). Due to the risk of recurrent events, early investigation and treatment of risk factors is advised.2,3 One of the major risk factors for stroke is atrial fibrillation (AF). AF is a common cardiac arrhythmia, which is estimated to affect 2.5% of the adult population in Scotland, with a large proportion undiagnosed and consequently untreated. Cardioembolism accounts for around a quarter of all ischaemic strokes, which is most commonly caused by AF.4 Current evidence shows
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