Highlights the necessity of a comprehensive diagnostic work-up prior to ICM insertion in cryptogenic stroke patients to rule out non-cardioembolic causes.
In the Nordic Atrial Fibrillation and Stroke (NOR-FIB) study, the causes of ischemic stroke were identified in 43% of cryptogenic stroke patients monitored with implantable cardiac monitor (ICM), but one-third of these patients had non-cardioembolic causes. These results suggest the need for an early and comprehensive diagnostic work-up before inserting an ICM.
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Acampa et al. (2023) studied this question.
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