Self-actualization, according to Maslow, represents the growth of an individual toward fulfillment of the highest needs. Maslow argues that only high acheivers are self-actualizers, but we are all in fact capable of self-actualization.
In a thrombotic stroke, a blood clot (thrombus) forms inside one of the brain's arteries. The clot blocks blood flow to a part of the brain. This causes brain cells in that area to stop functioning and die quickly.
Patients with atrial flutter who subsequently experienced an episode of AF had a higher risk of stroke (RR, 1.56) than patients with atrial flutter who never had a subsequent episode of AF (RR, 1.11). 168 Left atrial appendage velocities are similar in patients with AF and patients with AF-flutter (an intermediate form with elements of both AF and atrial flutter); thus, the risk of left atrial thrombus formation should be comparable in the two conditions. 169