Key result
Systematic review finds conflicting evidence on the temporal link between AF episodes and stroke.
Why the study?
Continuous cardiac rhythm monitoring enables detection of brief, asymptomatic AF episodes, but whether a temporal relationship exists between AF episodes and stroke remains an open question.
Is there a temporal relationship between atrial fibrillation episodes detected by continuous monitoring and stroke?
Population
11 studies meeting inclusion criteria
Design
Review
Authors
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Supports cautious use of device-detected AF timing for anticoagulation decisions; leaves open need for rigorous prospective studies.
Systematic Review (n=11)
Is there a temporal relationship between atrial fibrillation episodes detected by continuous monitoring and stroke?
The temporal relationship between atrial fibrillation episodes and stroke remains unclear due to methodological limitations in existing studies, highlighting the need for better-designed research.
D'Lima et al. (2024) conducted a systematic review in Atrial fibrillation and ischaemic stroke (n=11). Continuous cardiac rhythm monitoring for atrial fibrillation episodes was evaluated on Temporal relationship between episodes of atrial fibrillation and stroke. A systematic review of 11 studies found conflicting evidence on the temporal relationship between atrial fibrillation episodes and stroke, with 4 studies showing a strong association and 7 a weak one.
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