Key result
Extended continuous cardiac monitoring for at least 72 hours following an ischemic stroke is critical for detecting new atrial fibrillation and guiding secondary prevention with oral anticoagulants.
Why the study?
Improved cardiac monitoring has led to more reported cases of AF detected after stroke, which has implications for recurrent stroke risk and prevention.
This article provides a review of the monitoring and management of atrial fibrillation detected after stroke.
Supports extended post-stroke monitoring for AF detection; leaves open optimal duration and selection pending prospective trials.
Patients with atrial fibrillation (AF) have a greater probability of a stroke event than patients without AF. As a result of developments in cardiac monitoring, the diagnosis of AF during an ischemic stroke or transient ischemic attack has improved these years. More cases of AF detected after stroke (AFDAS) are reported, which has implications for future risk of recurrent stroke and prevention. This article provides the current review of AFDAS's monitoring and brief management.
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Valentinus Besin (2022) conducted a review in Ischemic stroke and Atrial Fibrillation Detected After Stroke (AFDAS). Extended continuous cardiac monitoring vs. Standard 24-hour Holter monitoring was evaluated. Extended continuous cardiac monitoring for at least 72 hours following an ischemic stroke is critical for detecting new atrial fibrillation and guiding secondary prevention with oral anticoagulants.
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