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Aug 2012

Atrial Fibrillation and the Hachinski Ischemic Scale—Reply

Author Affiliations

Author Affiliations: Department of Clinical Neurological Sciences, University Hospital, London, Ontario, Canada (Dr Hachinski); Isfahan Cardiovascular Research Center, Isfahan University of Medical Sciences, Isfahan, Iran (Dr Oveisgharan); and Shankle Memory Clinic, University of California, Irvine (Dr Shankle).

Arch Neurol. 2012;69(8):1084-1085. doi:10.1001/archneurol.2012.1524

In reply

We appreciate Drs Tasci and Doruk for highlighting the growing importance of atrial fibrillation in the etiology of stroke and vascular cognitive impairment.

One of the main advantages of the ischemic score is that it is simple and used widely (more than 2300 citations), providing a standard of comparison.

We wonder whether it would not be simpler to add to the ischemic score a statement whether atrial fibrillation is present, and if so, whether it was treated.