Key result
Prolonged 3-week ECG Holter monitoring detected paroxysmal atrial fibrillation in 9.5% of young patients (≤ 50 years) with cryptogenic ischemic stroke.
Why the study?
Does 3-week ECG Holter monitoring improve the detection of paroxysmal atrial fibrillation compared to 24-hour monitoring in young patients (≤ 50 years) with cryptogenic ischemic stroke?
Observational (n=95)
No
Does 3-week ECG Holter monitoring improve the detection of paroxysmal atrial fibrillation compared to 24-hour monitoring in young patients (≤ 50 years) with cryptogenic ischemic stroke?
Prolonging ECG Holter monitoring to 3 weeks significantly increases the detection rate of paroxysmal atrial fibrillation in young patients with cryptogenic ischemic stroke.
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May support extended Holter in young cryptogenic stroke; leaves open optimal duration and outcome impact pending RCTs.
Šaňák et al. (2015) conducted an observational in Cryptogenic ischemic stroke (n=95). 3-week ECG Holter monitoring vs. 24-hour ECG Holter monitoring was evaluated on Detection of paroxysmal atrial fibrillation (95% CI 3.5% - 17.8%). Prolonged 3-week ECG Holter monitoring detected paroxysmal atrial fibrillation in 9.5% of young patients (≤ 50 years) with cryptogenic ischemic stroke.
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