Key result
Digital devices offer a promising alternative to standard equipment for detecting atrial fibrillation after stroke, though their reliability and accuracy require further validation before clinical use.
Why the study?
AF screening post cryptogenic stroke faces practical access disparities, costs, and delays, necessitating an evaluation of digital devices as alternatives to standard equipment.
Can digital devices effectively replace or supplement standard equipment for the detection of atrial fibrillation in post-stroke patients?
Can digital devices effectively replace or supplement standard equipment for the detection of atrial fibrillation in post-stroke patients?
Digital devices present a promising, accessible alternative for detecting atrial fibrillation after stroke, though further validation of their accuracy and reliability is needed before routine clinical implementation.
Answers are grounded in this paper and cite their sources.
May address AF screening gaps in cryptogenic stroke via digital devices; leaves open optimal implementation and outcome data.
The detection of atrial fibrillation (AF) in patients with cryptogenic stroke (CS) is an essential part of management to limit the risk of recurrence. However, in practice, not all patients who need AF screening are screened, or are screened with significant delays. The disparities of access to examinations, their costs as well as the increasing workload require an evolution of practices both in terms of organization and the type of equipment used. The ubiquity and ease of use of digital devices, together with their evaluation in large population and their expected lower cost, make them attractive as potential alternatives to current equipment at all stages of patient management. However, reliability and accuracy of each digital device for the detection of paroxysmal AF in CS patients should be established before consideration for inclusion in clinical practice. The aim of this short analysis is therefore to review the current practical issues for AF detection in post stroke patients, the potential benefits and issues using digital devices in stroke patients and to position the different digital devices as alternative to standard equipment at each stage of stroke patient pathway. This may help to design future studies for the evaluation of these devices in this context. Under this condition, the time for digital devices to detect AF after stroke seems very close.
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Piot et al. (2023) conducted a review in Cryptogenic stroke and ischemic stroke. Digital devices (wearables, handheld ECG, PPG) vs. Standard monitoring equipment (Holter, telemetry, ILR) was evaluated. Digital devices offer a promising alternative to standard equipment for detecting atrial fibrillation after stroke, though their reliability and accuracy require further validation before clinical use.
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