Extended ECG monitoring with an implantable loop recorder in patients with cryptogenic stroke: time schedule, reasons for explantation and incidental findings (results from the TRACK-AF trial)

Clinical Research in Cardiology : Official Journal of the German Cardiac Society
M BettinFlorian Reinke

Abstract

Implantable loop recorders (ILR) may be used to detect occult atrial fibrillation (AF) in patients with cryptogenic stroke. At present, there has been no description on the incidental findings of stored episodes in these patients. Furthermore, no standard practice has been established with respect to the duration of continued ECG monitoring in these patients. In the prospective monocentric study (TRACK-AF), a total of 173 patients with cryptogenic stroke received an ILR for detection of AF between November 2010 and December 2014. Before implantation all patients had undergone recommended protocols for detection of stroke causes. During a mean follow-up of 24.8 ± 11.5 months, atrial tachyarrhythmias were detected in n = 33 pts (19.1%). Diagnosis of AF was made after a mean of 10.7 ± 11.4 months, time to first AF detection ranged between 0.2 and 39.8 months. In 15 patients (8.7%), other incidental findings were stored in the ILR memory. Short episodes of sinus arrest at night not requiring a permanent pacemaker were present in 8 pts (4.6%). DDD-pacemaker implantation due to sinus arrest or symptomatic bradyarrhythmias occurred in 5 patients (2.9%) after a median monitoring period of 23.1 ± 7.4 months. Further incidental findings ...Continue Reading

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Citations

May 3, 2019·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Gerrit FrommeyerLars Eckardt
Feb 16, 2019·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Lukas ChmielewskiAnca-Rezeda Florian
Feb 10, 2019·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Cecilia TettaSandro Gelsomino
May 3, 2019·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Gulmira Kudaiberdieva, Bulent Gorenek
Mar 8, 2020·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Ann-Kathrin RahmEberhard Scholz
Feb 3, 2021·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Yue LuZhuan Xu
Oct 29, 2021·Stroke; a Journal of Cerebral Circulation·Aditya BhatTimothy C Tan

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