Why the study?
Do serial ECG assessments improve the detection of new-onset atrial fibrillation compared to Holter monitoring in patients with acute ischemic stroke?
Population
144 patients with acute ischemic stroke admitted to a stroke unit
Comparison
Serial electrocardiographic assessments within… vs Holter monitoring
Design
Cohort
Follow-up
72 hours
Authors
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May aid early AF detection in acute stroke; hypothesis-generating and requires RCTs versus Holter before practice change.
Do serial ECG assessments improve the detection of new-onset atrial fibrillation compared to Holter monitoring in patients with acute ischemic stroke?
Serial ECG assessments within the first 72 hours of an acute ischemic stroke significantly improve the detection of occult atrial fibrillation, identifying cases that may be missed by Holter monitoring.
Douen et al. (2008) studied this question.