Key result
Advanced age, clinical symptoms >24 hours (OR 5.17; 95% CI 1.73-15.48), and history of coronary artery disease (OR 3.14; 95% CI 1.35-7.28) predicted paroxysmal atrial fibrillation after acute stroke.
Why the study?
What are the clinical predictors for detecting paroxysmal atrial fibrillation after an acute ischemic stroke?
Population
224 patients with acute ischaemic stroke without permanent AF, mean age 68.5 years, 58.5% male.
Design
Cohort
Follow-up
1 year
Authors
Loading...
May inform targeted post-stroke monitoring; leaves open need for prospective validation before practice change.
Cohort (n=224)
What are the clinical predictors for detecting paroxysmal atrial fibrillation after an acute ischemic stroke?
Odds Ratio: 5.17 (95% CI 1.73–15.48)
Advanced age, history of coronary artery disease, and clinical symptoms >24 hours are strong predictors for detecting paroxysmal atrial fibrillation after acute ischemic stroke, warranting prolonged Holter monitoring.
Wohlfahrt et al. (2013) conducted a cohort in Acute ischaemic stroke (n=224). Clinical predictors (advanced age, symptoms >24h, history of CAD) vs. Absence of these predictors was evaluated on Detection of paroxysmal atrial fibrillation (pAF) (OR 5.17, 95% CI 1.73-15.48). Advanced age, clinical symptoms >24 hours (OR 5.17; 95% CI 1.73-15.48), and history of coronary artery disease (OR 3.14; 95% CI 1.35-7.28) predicted paroxysmal atrial fibrillation after acute stroke.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: