What are the predictors and natural course of atrial fibrillation detected after cryptogenic stroke?
There is a significant delay in detecting atrial fibrillation following cryptogenic stroke, supporting the need for extended cardiac monitoring in these patients.
BACKGROUND: Cryptogenic stroke (CS) presents challenges in management and increases risk of stroke recurrence. The clinical relevance of atrial fibrillation detected after stroke (AFDAS) remains equivocal. METHODS: Our study was conducted in a meta-analysis design, including all observational studies and utilizing random-effects model. The objectives were to explore the association between predictors and AFDAS incidence, and clinical differences between AF and non-AF patients following CS. RESULTS: = 71.9 %). The mean time from CS to AF detection was 162 days and from cardiac monitoring to AF detection was 49 days. CONCLUSION: Our study highlighted the potential link between certain comorbidities and demonstrated the delay in AF detection following CS. The significant parameters identified should be considered as new recommendations to the guideline for extended cardiac monitoring in CS patients. It is time to change the level of surveillance in this population.
Pajareya et al. (Fri,) studied this question.
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