Why the study?
Does prolonged cardiac monitoring improve atrial fibrillation detection in patients with ischemic stroke?
Does prolonged cardiac monitoring improve atrial fibrillation detection in patients with ischemic stroke?
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The ideal duration of prolonged cardiac monitoring for atrial fibrillation detection after ischemic stroke remains unestablished, with varying guideline recommendations and clinical practices.
Prolonged cardiac monitoring (PCM) is one of the pillars of the diagnostic workup for patients with ischemic stroke. However, the ideal duration of PCM for atrial fibrillation (AF) detection after stroke has not been established. Recommendations on PCM duration after stroke vary across clinical guidelines from nonspecific long-term monitoring1 to 2 weeks.2 Furthermore, AF screening strategies after stroke vary widely in clinical practice,3,4 possibly due to differences in access to monitoring technologies,4 vague recommendations from clinical guidelines,1 and lack of data supporting a specific duration of monitoring.
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Sposato et al. (2022) studied this question.
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