Key result
Long-term automatic cardiac event recorders detected paroxysmal atrial fibrillation in 14.3% of patients with unexplained stroke or TIA, statistically outperforming 24-hour Holter ECG alone.
Why the study?
Does a long-term automatic cardiac event recorder improve the detection of paroxysmal atrial fibrillation in patients with unexplained stroke or TIA compared to 24-hour Holter monitoring?
Observational (n=60)
No
Does a long-term automatic cardiac event recorder improve the detection of paroxysmal atrial fibrillation in patients with unexplained stroke or TIA compared to 24-hour Holter monitoring?
Long-term automatic cardiac event recorders (target 4 days) significantly improve the detection of paroxysmal atrial fibrillation in patients with unexplained stroke or TIA compared to standard 24-hour Holter monitoring.
No takes yet. Share an insight, caveat, or question.
May support long-term recorders over Holter for AF detection after unexplained stroke; hypothesis-generating and requires RCTs before practice change.
Barthélemy et al. (2003) conducted an observational in Stroke or TIA (n=60). Long-term automatic cardiac event recorder (R-Test Evolution) vs. 24-hour Holter ECG recording was evaluated on Detection of paroxysmal atrial fibrillation (PAF) episodes. Long-term automatic cardiac event recorders detected paroxysmal atrial fibrillation in 14.3% of patients with unexplained stroke or TIA, statistically outperforming 24-hour Holter ECG alone.
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