The significance of Holter electrocardiography in the etiological evaluation of transient ischemic stroke

Brain Circulation
Yıldız ArslanYaşar Zorlu

Abstract

Transient ischemic attack (TIA) is a common neurovascular disorder associated with a higher risk of stroke within the first 24 h after the first event. Acute cerebral and arterial neuroimaging combined with long-term electrocardiography (ECG) monitoring have been proven to be useful in determining etiology. Cardio-embolism constitutes 20%-26% etiology of TIAs most of them with atrial fibrillation (AF). Investigation of AF after TIA is very important because oral anticoagulants can reduce the risk of subsequent stroke by two thirds. The present study included 45 patients suffering from TIA with undetermined source according to the Trial of Org 10172 in Acute Stroke Treatment criteria; the control group (n = 45) was selected from the patients admitted to cardiology outpatient clinic with nonspecific complaints without cerebrovascular and/or cardiovascular disease. All patients underwent echocardiography and 24 h Holter ECG monitoring (HM). There was no significant difference between the patient group and the control group in terms of age and gender. Cholesterol, low-density lipoprotein and urea levels, left atrium diameters and the incidence of hypertension, coronary artery diseases, and AF were significantly higher in TIA group ...Continue Reading

References

Feb 22, 2012·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Isabelle Beaulieu-BoireJean-Martin Boulanger
Dec 24, 2014·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·João PinhoCarla Ferreira
Jul 14, 2016·Stroke; a Journal of Cerebral Circulation·Jodi D EdwardsUNKNOWN Investigators of the Registry of the Canadian Stroke Network
Nov 30, 2016·Cerebrovascular Diseases Extra·Kenneth Bruun PedersenAxel Brandes
Sep 9, 2018·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Edmund CheongTim Kleinig
Dec 18, 2019·Stroke; a Journal of Cerebral Circulation·Meritxell GomisCarlos Molina

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Statistical Package for the Social Sciences
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