Key result
Acute stroke patients experienced significantly more serious arrhythmias during 24-hour Holter monitoring compared to non-stroke controls (P<0.001), independent of age and co-existing heart disease.
Why the study?
Does acute stroke increase the occurrence of cardiac arrhythmias and myocardial cell damage compared to non-stroke controls?
Population
100 stroke patients admitted to a stroke ICU and 50 controls with diagnoses other than stroke or TIA
Comparison
Acute stroke (exposure) vs Controls with diagnoses other than stroke or TIA…
Design
Cohort
Follow-up
48 hours
Authors
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Supports arrhythmia monitoring after acute stroke; hypothesis-generating pending trials on outcome impact.
Case-Control (n=150)
Does acute stroke increase the occurrence of cardiac arrhythmias and myocardial cell damage compared to non-stroke controls?
p-value: p=<0.001
Acute stroke is associated with an increased risk of cardiac arrhythmias and myocardial cell damage, potentially mediated by stroke-induced increases in sympathetic tone.
C. Helmers (1983) conducted a case-control in Acute stroke (n=150). Acute stroke vs. Non-stroke controls was evaluated on Serious arrhythmias during 24 hour Holter ECG monitoring (p=<0.001). Acute stroke patients experienced significantly more serious arrhythmias during 24-hour Holter monitoring compared to non-stroke controls (P<0.001), independent of age and co-existing heart disease.
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