Rhythmology: treating your heart reduces the risk of stroke

Article Through Ramsay Health, the 10/02/2021

Arrhythmia is one of the warning signs of a stroke, to watch without moderation.

A cerebrovascular accident (stroke) occurs when the blood is temporarily no longer supplied to the brain, creating a lack of oxygen for the latter and the risk of irreversible neurological sequelae. Often involved, the obstruction of a blood vessel or artery, which can be caused by a clot originating in the heart. Thearrhythmia is one of the warning signs, to watch without moderation.

At Clairval Private Hospital, a Ramsay Santé facility located in Marseille (Provence-Alpes-Côte d’Azur), Dr Mechulan is a cardiologist and rhythmologist specializing in heart rhythm disorders. Atrial fibrillation, which is characterized by irregular and rapid heartbeats, holds no secrets for him. He presents this pathology and its cause and effect relationship with stroke.

Study the causes of stroke to better protect yourself from it

There are different triggers for stroke, just like there are different types of arrhythmias. “The profile of an arrhythmic patient is often an individual over the age of 65, rather overweight, fairly sedentary and suffering from high blood pressure. However, we also have younger patients. Depending on each case that arises, we will adapt the treatment against this arrhythmia and, implicitly, the preventive treatment against stroke. “

Sometimes, some patients trigger a stroke without knowing at the turn of the medical assessment, the causes of this one. “In these cases, we will do extensive research using a small monitor placed under the skin that will detect arrhythmias, especially related to atrial fibrillation. As a reminder, the latter results from a disorderly contraction of the two upper chambers of the heart (the right and left atria). “

Focus on atrial fibrillation, often involved

When atrial fibrillation is detected, treatment with anticoagulants may be prescribed initially in order to decrease the risk of stroke. However, this type of treatment is not suitable for everyone and has an increased risk of bleeding. “For patients contraindicated to anticoagulant treatment a new technique has been developed, explains the specialist. This involves placing a small prosthesis that will close the left auricle, responsible for the majority of clots from the heart and which can go to the brain, at the origin of strokes. “

Another method of managing atrial fibrillation is ablation. “This procedure is more and more widespread. It consists of going to destroy or isolate areas of tissue at the origin of the arrhythmia, passing through the femoral vein. This will greatly reduce the risk of arrhythmia in the future. “ This alternative is now offered as the first line in the treatment of arrhythmia.

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