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Current Cardiology Reports

Erschienen in:

16.02.2022 | Invasive Electrophysiology and Pacing (E. Kevin Heist, Section Editor)

Use of Prolonged Cardiac Rhythm Monitoring to Identify Atrial Fibrillation After Cryptogenic Stroke

verfasst von: Alexis T. Roy, Lee H. Schwamm, Aneesh B. Singhal

Erschienen in: Current Cardiology Reports | Ausgabe 4/2022

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Abstract

Purpose of Review

Prolonged cardiac monitoring (PCM) improves detection of atrial fibrillation (AF) after cryptogenic stroke. We summarize current research supporting the use of PCM as part of the cryptogenic stroke evaluation, while highlighting areas that require more investigation.

Recent Findings

Despite increased AF detection with longer durations of PCM, more definitive research is needed to demonstrate how PCM improves clinical outcomes. The optimal type, timing, and length of cardiac monitoring after cryptogenic stoke remains unknown. Clinical calculators will be important to risk stratify which cryptogenic stroke patients are most likely to benefit from PCM. Currently, AF detection after cryptogenic stroke should prompt consideration of anticoagulation, but it is unclear if all durations and timing of AF after stroke should be treated the same.

Summary

PCM remains an important part of the cryptogenic stroke work up, and detection of AF allows for anticoagulation initiation. Additional research is needed to further refine our application of PCM to cryptogenic stroke.

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•• Bernstein RA, Kamel H, Granger CB, Piccini JP, Sethi PP, Katz JM, et al. Effect of long-term continuous cardiac monitoring vs usual care on detection of atrial fibrillation in patients with stroke attributed to large- or small-vessel disease: the STROKE-AF randomized clinical trial. Jama. 2021;325(21):2169–77. https://doi.org/10.1001/jama.2021.6470. RTC showing that patients with non-cardioembolic stroke etiologies have high rates of AF detection with PCM.

Titel: Use of Prolonged Cardiac Rhythm Monitoring to Identify Atrial Fibrillation After Cryptogenic Stroke
verfasst von: Alexis T. Roy
Lee H. Schwamm
Aneesh B. Singhal
Publikationsdatum: 16.02.2022
Verlag: Springer US
Erschienen in: Current Cardiology Reports / Ausgabe 4/2022
Print ISSN: 1523-3782
Elektronische ISSN: 1534-3170
DOI: https://doi.org/10.1007/s11886-022-01652-1

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