Detection of atrial fibrillation with concurrent holter monitoring and continuous cardiac telemetry following ischemic stroke and transient ischemic attack

Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association
Marc A LazzaroShyam Prabhakaran

Abstract

Atrial fibrillation (AF) is a major risk factor for recurrent ischemic stroke. We aimed to compare the detection rate of AF using continuous cardiac telemetry (CCT) versus Holter monitoring in hospitalized patients with ischemic stroke or transient ischemic attack (TIA). Between June 2007 and December 2008, 133 patients were admitted to an academic institution for ischemic stroke or TIA and underwent concurrent inpatient CCT and Holter monitoring. Rates of AF detection by CCT and Holter monitoring were compared using the McNemar paired proportion test. Among the 133 patients, 8 (6.0%) were diagnosed with new-onset AF. On average, Holter monitoring was performed for 29.8 hours, and CCT was performed for 73.6 hours. The overall rate of AF detection was higher for Holter monitoring compared with CCT (6.0%; 95% confidence interval [CI], 2.9-11.6 vs 0; 95% CI, 0-3.4; P = .008). Holter detection of AF was even higher in specific subgroups (those with an embolic infarct pattern, those age >65 years, and those with coronary artery disease). Holter monitoring detected AF in 6% of hospitalized ischemic stroke and TIA patients, with higher proportions in high-risk subgroups. Compared with CCT, Holter monitoring is significantly more likel...Continue Reading

References

Apr 1, 1989·Annals of Neurology·R L SaccoP A Wolf
Nov 1, 1985·Stroke; a Journal of Cerebral Circulation·J A RemH J Barnett
Sep 1, 1996·Stroke; a Journal of Cerebral Circulation·T N TaylorM F Jacobson
Jun 13, 2001·JAMA : the Journal of the American Medical Association·B F GageM J Radford
Jul 2, 2004·Internal Medicine Journal·S ShafqatK L Furie
May 12, 2009·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Lucas ElijovichWade S Smith

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Citations

May 9, 2012·Current Treatment Options in Cardiovascular Medicine·Richard A Bernstein
Dec 20, 2013·Current Treatment Options in Cardiovascular Medicine·Hardik Amin, David M Greer
Sep 27, 2014·Critical Care Clinics·Nelson J MaldonadoJose Ignacio Suarez
Oct 3, 2014·Internal and Emergency Medicine·Maddalena Alessandra WuUNKNOWN Gruppo di Autoformazione Metodologica (GrAM)
Jul 31, 2013·Expert Review of Cardiovascular Therapy·Sunil K Agarwal, Elsayed Z Soliman
Apr 11, 2013·Expert Review of Cardiovascular Therapy·Azmil H Abdul-Rahim, Kennedy R Lees
Mar 7, 2015·Circulation Journal : Official Journal of the Japanese Circulation Society·Marc Fisher, Mark McAllister
Nov 6, 2013·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Panee SutamnartpongIngOrn Arunakul
May 7, 2011·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Hooman KamelS Claiborne Johnston
May 7, 2016·Cardiology Clinics·Sukit M RingwalaRod S Passman
Nov 6, 2012·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·J-M BugnicourtO Godefroy
May 29, 2013·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·J WohlfahrtK Gröschel
Aug 15, 2015·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Hyemoon ChungJong-Youn Kim
Jul 21, 2015·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Kotaro YoshiokaHidehiro Mizusawa
Jan 6, 2015·Journal of Neurology·Gerben J J PlasPaul J A M Brouwers
Feb 22, 2012·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Laurent SuissaMarie Hélène Mahagne
Sep 1, 2014·QJM : Monthly Journal of the Association of Physicians·A J RankinK R Lees
May 26, 2016·The New England Journal of Medicine·Jeffrey L Saver
Jun 22, 2016·Current Treatment Options in Cardiovascular Medicine·Scott B Silverman
Jul 21, 2016·Journal of Intensive Care Medicine·Fawaz Al-MuftiPhilip M Meyers
Sep 28, 2016·Journal of the American Heart Association·Jelle DemeestereRobin Lemmens
Aug 1, 2013·Stroke; a Journal of Cerebral Circulation·Peter HigginsKennedy R Lees
Sep 11, 2012·Stroke; a Journal of Cerebral Circulation·Bernd KallmünzerMartin Köhrmann
Aug 10, 2017·BMJ Case Reports·Jose Danilo Bengzon DiestroJose Leonard Rivera Pascual
Jun 21, 2017·Health Technology Assessment : HTA·Nicky J WeltonReecha Sofat
Dec 3, 2016·Critical Care Nurse
Sep 1, 2017·The Neurologist·Carlos Cantú-BritoSebastián F Ameriso
Oct 23, 2015·Current Atherosclerosis Reports·Rajbeer Singh Sangha, Richard Bernstein
Oct 12, 2019·Internal Medicine Journal·Claire MullerAndrew Wong
Dec 17, 2020·Neurological Research and Practice·Stefan KnechtBettina Studer

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