Holter monitoring in the diagnosis of stroke mechanism

Internal Medicine Journal
S ShafqatK L Furie

Abstract

Atrial fibrillation (AF), an important and treatable cause of ischaemic stroke, can occur as a sustained or a paroxysmal arrhythmia. Continuous cardiac rhythm monitoring (Holter monitoring) is often performed in stroke patients to identify paroxysmal AF, which is an indication for warfarin anti-coagulation in this patient population. The aim of this study was to assess the clinical utility of Holter monitoring in detecting occult AF in patients with possible cardioembolic stroke. The medical records of ischaemic stroke patients consecutively hospitalized at a single academic centre during a one-year period were reviewed. Data regarding patient demographics, stroke characteristics, electrocardiography and echocardiography results and duration and findings of Holter monitoring were abstracted. The primary outcome was yield of newly diagnosed AF on Holter monitoring. Of 465 consecutive patients admitted with a diagnosis of new ischaemic stroke, 210 underwent Holter monitoring. The mean duration of monitoring was 22.8 +/- 4.0 h. Previously undiscovered AF was -identified in five cases (2.4%), all of which represented non-rheumatic AF. In three cases, the Holter test was negative despite AF documented on an admission electro-cardiog...Continue Reading

References

Apr 1, 1989·Annals of Neurology·R L SaccoP A Wolf
Mar 1, 1986·Stroke; a Journal of Cerebral Circulation·P J KoudstaalL J Kappelle
Nov 1, 1985·Stroke; a Journal of Cerebral Circulation·J A RemH J Barnett
Sep 1, 1995·Stroke; a Journal of Cerebral Circulation·H J LinR B D'Agostino
Jan 1, 1993·Stroke; a Journal of Cerebral Circulation·F VingerhoetsG Van Melle
Feb 26, 1996·Archives of Internal Medicine·A P Aboaf, P S Wolf
Apr 1, 1996·Acta Neurologica Scandinavica·C R HornigW Dorndorf
Nov 24, 1999·The American Journal of Cardiology·K M Ryder, E J Benjamin
Nov 30, 1999·Annals of Internal Medicine·R G Hart, J L Halperin
Feb 17, 2000·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·C Bell, M Kapral
Dec 6, 2002·The New England Journal of Medicine·D G WyseUNKNOWN Atrial Fibrillation Follow-up Investigation of Rhythm Management (AFFIRM) Investigators
Dec 6, 2002·The New England Journal of Medicine·Isabelle C Van GelderUNKNOWN Rate Control versus Electrical Cardioversion for Persistent Atrial Fibrillation Study Group
Dec 6, 2002·The New England Journal of Medicine·Rodney H Falk

❮ Previous
Next ❯

Citations

Jan 22, 2011·Der Nervenarzt·U C Hoppe
Jan 17, 2009·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·B SchaerS Osswald
Jan 3, 2012·International Journal of Medical Sciences·Umuttan DoganBetigul Yuruten
Jul 27, 2010·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Marc A LazzaroShyam Prabhakaran
May 12, 2009·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Lucas ElijovichWade S Smith
Oct 7, 2014·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Taya V Glotzer, Paul D Ziegler
May 6, 2014·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Hong-Ling YangCheng Zhou
Aug 15, 2015·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Hyemoon ChungJong-Youn Kim
Jul 18, 2015·The American Journal of Cardiology·William C ChoeUNKNOWN CRYSTAL AF Investigators
Dec 2, 2008·International Journal of Surgery·Ayesha NooraniMichael E Gaunt
Mar 5, 2013·International Journal of Cardiology·Tu N NguyenRobert G Cumming
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
Sep 28, 2016·Journal of the American Heart Association·Jelle DemeestereRobin Lemmens
Nov 15, 2008·The Neurologist·Alberto Maud, David C Anderson
Apr 11, 2013·Expert Review of Cardiovascular Therapy·Azmil H Abdul-Rahim, Kennedy R Lees
Jun 21, 2017·Health Technology Assessment : HTA·Nicky J WeltonReecha Sofat
Feb 28, 2007·Journal of Neural Engineering·H Gerding
Oct 23, 2015·Current Atherosclerosis Reports·Rajbeer Singh Sangha, Richard Bernstein
Nov 23, 2016·Herzschrittmachertherapie & Elektrophysiologie·Simon WechselbergerMatthias Pohl
Aug 13, 2014·Nature Reviews. Cardiology·Faisal RahmanEmelia J Benjamin

❮ Previous
Next ❯

Related Concepts

Related Feeds

Atrial Filbrillation

Atrial fibrillation refers to the abnormal heart rhythm characterized by rapid and irregular beating of the atria. Here is the latest research.

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.