Abstract
This pilot study in a prospective cohort of 20 cryptogenic stroke patients showed that a significant proportion has paroxysmal atrial fibrillation undetected by 24-h Holter monitoring. However, longer monitoring with 28-day Holter was poorly tolerated and still insufficiently sensitive for paroxysmal atrial fibrillation detection. Further studies are urgently needed to elucidate the optimal timing, method and duration of cardiac rhythm monitoring following ischaemic stroke.
Keywords:
Holter monitoring; atrial fibrillation; diagnosis; screening; stroke.
© 2014 The Authors; Internal Medicine Journal © 2014 Royal Australasian College of Physicians.
MeSH terms
-
Aged
-
Asymptomatic Diseases
-
Atrial Fibrillation / complications
-
Atrial Fibrillation / diagnosis*
-
Atrial Fibrillation / epidemiology
-
Atrial Premature Complexes / diagnosis
-
Atrial Premature Complexes / epidemiology
-
Brain Ischemia / epidemiology
-
Brain Ischemia / etiology*
-
Brain Ischemia / prevention & control
-
Cardiovascular Diseases / epidemiology
-
Comorbidity
-
Diabetes Mellitus / epidemiology
-
Electrocardiography, Ambulatory* / psychology
-
False Negative Reactions
-
Feasibility Studies
-
Female
-
Humans
-
Hyperlipidemias / epidemiology
-
Male
-
Middle Aged
-
Patient Acceptance of Health Care*
-
Pilot Projects
-
Prospective Studies
-
Recurrence
-
Sampling Studies
-
Sensitivity and Specificity