Prolonged Cardiac Monitoring to Detect Atrial Fibrillation after Cryptogenic Stroke or Transient Ischemic Attack: A Meta‐Analysis of Randomized Controlled Trials

Khagendra Dahal; Bikash Chapagain; Raju Maharjan; Husam H. Farah; Ayesha Nazeer; Robert J. Lootens; Alan Rosenfeld

doi:10.1111/anec.12319

November 2, 2015Annals of Noninvasive ElectrocardiologyOpen Access

Prolonged Cardiac Monitoring to Detect Atrial Fibrillation after Cryptogenic Stroke or Transient Ischemic Attack: A Meta‐Analysis of Randomized Controlled Trials

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Why the study?

Does prolonged cardiac monitoring improve detection of atrial fibrillation and anti-coagulation use in patients after cryptogenic stroke or transient ischemic attack?

Key Points

To determine whether prolonged cardiac monitoring enhances the detection of atrial fibrillation and guides subsequent anticoagulation therapy in patients with cryptogenic stroke or transient ischemic attack.
Meta-analysis pooling evidence from randomized controlled trials.
Comparison of prolonged cardiac monitoring versus shorter duration cardiac monitoring in post-stroke or post-transient ischemic attack cohorts.
Prolonged cardiac monitoring improved the detection rate of atrial fibrillation compared to shorter monitoring durations.
Use of prolonged cardiac monitoring led to increased initiation of anticoagulation therapy.

Structured PICO

Does prolonged cardiac monitoring improve detection of atrial fibrillation and anti-coagulation use in patients after cryptogenic stroke or transient ischemic attack?

P

Population

Patients after cryptogenic stroke or transient ischemic attack (TIA)

I

Intervention

Prolonged cardiac monitoring

C

Comparator

Shorter duration of cardiac monitoring

O

Outcome

Detection of atrial fibrillation and anti-coagulation use

Prolonged cardiac monitoring should be considered over shorter monitoring to improve atrial fibrillation detection and subsequent anticoagulation in patients with cryptogenic stroke or TIA.

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Implication

Supports prolonged monitoring after cryptogenic stroke or TIA; strengthens Level 1 evidence for AF detection and anticoagulation.

Abstract

Prolonged cardiac monitoring improves detection of atrial fibrillation and anti-coagulation use after cryptogenic stroke or TIA and therefore should be considered instead of shorter duration of cardiac monitoring.

Discussion

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Cite This Study

Dahal et al. (2015) studied this question.

synapsesocial.com/papers/69de6f79bf539e227055899a https://doi.org/10.1111/anec.12319

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Prolonged Cardiac Monitoring to Detect Atrial Fibrillation after Cryptogenic Stroke or Transient Ischemic Attack: A Meta‐Analysis of Randomized Controlled Trials

Key Points

Structured PICO

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

Prolonged Cardiac Monitoring to Detect Atrial Fibrillation after Cryptogenic Stroke or Transient Ischemic Attack: A Meta‐Analysis of Randomized Controlled Trials

Key Points

Structured PICO

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

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