Detection of Atrial Fibrillation in Ischemic Stroke Patients: A Systematic Review and Meta-Analysis of Secondary Stroke Prevention

Date

2016-04

Authors

Kohansieh, Michelle

Journal Title

Journal ISSN

Volume Title

Publisher

Stern College for Women

YU Faculty Profile

Abstract

Evidence of atrial fibrillation (AF) is often sought in patients with ischemic stroke or transient ischemic attack (TIA), and confers a high risk of recurrent stroke. Guidelines for detection of AF following stroke vary. Therefore, we aimed to determine the frequency of newly detected AF by ambulatory cardiac monitoring through a systematic review and metaanalysis of the literature. We found a higher rate of AF detection by three modes of ambulatory cardiac monitoring – mobile cardiac outpatient telemetry, external loop reordering, and internal loop recording – when compared with rates of newly detected AF in inpatient bedside monitoring techniques. We suggest a systematic approach that can be applied clinically to increase rates of AF detection, thus allowing for increased secondary stroke prevention through the use of anticoagulants.

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Keywords

Atrial fibrillation --Detection., Transient ischemic attack --Prevention., Cerebrovascular disease --Patients., Cerebrovascular disease --Prevention., Patient monitoring.

Citation