Key result
Long-term continuous monitoring with insertable cardiac devices significantly increases the detection rate of occult atrial fibrillation in patients with cryptogenic stroke compared to conventional monitoring.
Why the study?
How and when should patients be screened for atrial fibrillation after cryptogenic stroke using insertable cardiac monitoring devices?
How and when should patients be screened for atrial fibrillation after cryptogenic stroke using insertable cardiac monitoring devices?
This narrative review discusses strategies for selecting patients for AF monitoring after cryptogenic stroke and the role of empirical anticoagulation based on AF burden.
May inform monitoring strategies after cryptogenic stroke; leaves open optimal duration, selection, and anticoagulation thresholds.
The introduction of insertable cardiac monitoring devices has dramatically altered our understanding of the role of intermittent atrial fibrillation in cryptogenic stroke. In this narrative review we discuss the incidence, timing and relationship between atrial fibrillation and cryptogenic stroke, how to select patients for monitoring and the value and limitations of different monitoring strategies. We also discuss the role of empirical anticoagulation, and atrial fibrillation burden as a means of tailoring anticoagulation in patients at high risk of bleeding.
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Bridge et al. (2016) conducted a review in Cryptogenic stroke. Insertable cardiac monitoring devices vs. Conventional monitoring was evaluated. Long-term continuous monitoring with insertable cardiac devices significantly increases the detection rate of occult atrial fibrillation in patients with cryptogenic stroke compared to conventional monitoring.
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