Insertable Cardiac Event Recorder in Detection of Atrial Fibrillation After Cryptogenic Stroke An Audit Report

被引：81

作者：

Etgen, Thorleif ^{[1
,3
]}

Hochreiter, Manfred ^{[1
]}

Mundel, Markus ^{[2
]}

Freudenberger, Thomas ^{[1
]}

机构：

[1] Klinikum Traunstein, Kliniken Sudostbayern, Dept Neurol, D-83278 Traunstein, Germany

[2] Klinikum Traunstein, Kliniken Sudostbayern, Dept Cardiol, D-83278 Traunstein, Germany

[3] Tech Univ Munich, Dept Psychiat & Psychotherapy, D-80290 Munich, Germany

来源：

STROKE | 2013年 / 44卷 / 07期

关键词：

atrial fibrillation; cryptogenic stroke; event recorder; ISCHEMIC-STROKE; TRIAL; UNIT;

D O I：

10.1161/STROKEAHA.113.001340

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Background and Purpose-Atrial fibrillation (AF) is the most frequent risk factor in ischemic stroke but often remains undetected. We analyzed the value of insertable cardiac event recorder in detection of AF in a 1-year cohort of patients with cryptogenic ischemic stroke. Methods-All patients with cryptogenic stroke and eligibility for oral anticoagulation were offered the insertion of a cardiac event recorder. Regular follow-up for 1 year recorded the incidence of AF. Results-Of the 393 patients with ischemic stroke, 65 (16.5%) had a cryptogenic stroke, and in 22 eligible patients, an event recorder was inserted. After 1 year, in 6 of 22 patients (27.3%), AF was detected. Conclusions-These preliminary data show that insertion of cardiac event recorder was eligible in approximately one third of patients with cryptogenic stroke and detected in approximately one quarter of these patients new AF.

引用

页码：2007 / 2009

页数：3

共 11 条

[1] CLASSIFICATION OF SUBTYPE OF ACUTE ISCHEMIC STROKE - DEFINITIONS FOR USE IN A MULTICENTER CLINICAL-TRIAL [J].

ADAMS, HP ;

BENDIXEN, BH ;

KAPPELLE, LJ ;

BILLER, J ;

LOVE, BB ;

GORDON, DL ;

MARSH, EE ;

KASE, CS ;

WOLF, PA ;

BABIKIAN, VL ;

LICATAGEHR, EE ;

ALLEN, N ;

BRASS, LM ;

FAYAD, PB ;

PAVALKIS, FJ ;

WEINBERGER, JM ;

TUHRIM, S ;

RUDOLPH, SH ;

HOROWITZ, DR ;

BITTON, A ;

MOHR, JP ;

SACCO, RL ;

CLAVIJO, M ;

ROSENBAUM, DM ;

SPARR, SA ;

KATZ, P ;

KLONOWSKI, E ;

CULEBRAS, A ;

CAREY, G ;

MARTIR, NI ;

FICARRA, C ;

HOGAN, EL ;

CARTER, T ;

GURECKI, P ;

MUNTZ, BK ;

RAMIREZLASSEPAS, M ;

TULLOCH, JW ;

QUINONES, MR ;

MENDEZ, M ;

ZHANG, SM ;

ALA, T ;

JOHNSTON, KC ;

ANDERSON, DC ;

TARREL, RM ;

NANCE, MA ;

BUDLIE, SR ;

DIERICH, M ;

HELGASON, CM ;

HIER, DB ;

SHAPIRO, RA .

STROKE, 1993, 24 (01) :35-41

[2] Excessive Supraventricular Ectopic Activity and Increased Risk of Atrial Fibrillation and Stroke [J].

Binici, Zeynep ;

Intzilakis, Theodoros ;

Nielsen, Olav Wendelboe ;

Kober, Lars ;

Sajadieh, Ahmad .

CIRCULATION, 2010, 121 (17) :1904-1911

[3] Intermittent Atrial Fibrillation May Account for a Large Proportion of Otherwise Cryptogenic Stroke: A Study of 30-Day Cardiac Event Monitors [J].

Elijovich, Lucas ;

Josephson, S. Andrew ;

Fung, Gordon L. ;

Smith, Wade S. .

JOURNAL OF STROKE & CEREBROVASCULAR DISEASES, 2009, 18 (03) :185-189

[4] Multimodal strategy in the successful implementation of a stroke unit in a community hospital [J].

Etgen, T. ;

Freudenberger, T. ;

Schwahn, M. ;

Rieder, G. ;

Sander, D. .

ACTA NEUROLOGICA SCANDINAVICA, 2011, 123 (06) :390-395

[5] Detecting paroxysmal atrial fibrillation after ischemic stroke and transient ischemic attack: If you don't look, you won't find [J].

Gladstone, David J. ;

Blakely, John ;

Dorian, Paul ;

Spring, Melanie ;

Fang, Jiming ;

Silver, Frank L. ;

Kapral, Moira K. .

STROKE, 2008, 39 (05) :E78-E79

[6] Performance of a New Leadless Implantable Cardiac Monitor in Detecting and Quantifying Atrial Fibrillation Results of the XPECT Trial [J].

Hindricks, Gerhard ;

Pokushalov, Evgueny ;

Urban, Lubos ;

Taborsky, Milos ;

Kuck, Karl-Heinz ;

Lebedev, Dmitry ;

Rieger, Guido ;

Puererfellner, Helmut .

CIRCULATION-ARRHYTHMIA AND ELECTROPHYSIOLOGY, 2010, 3 (02) :141-U44

[7] How to use implantable loop recorders in clinical trials and hybrid therapy [J].

Jung, Werner ;

Zvereva, Vlada ;

Rillig, Andreas ;

Roggenbuck, Birge ;

Sadeghzadeh, Gholam ;

Kohler, Johannes .

JOURNAL OF INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY, 2011, 32 (03) :227-232

[8] Delayed Detection of Atrial Fibrillation after Ischemic Stroke [J].

Kamel, Hooman ;

Lees, Kennedy R. ;

Lyden, Patrick D. ;

Teal, Philip A. ;

Shuaib, Ashfaq ;

Ali, Myzoon ;

Johnston, S. Claiborne .

JOURNAL OF STROKE & CEREBROVASCULAR DISEASES, 2009, 18 (06) :453-457

[9] Continuous Stroke Unit Electrocardiographic Monitoring Versus 24-Hour Holter Electrocardiography for Detection of Paroxysmal Atrial Fibrillation After Stroke [J].

Rizos, Timolaos ;

Guentner, Janina ;

Jenetzky, Ekkehart ;

Marquardt, Lars ;

Reichardt, Christine ;

Becker, Ruediger ;

Reinhardt, Roland ;

Hepp, Thomas ;

Kirchhof, Paulus ;

Aleynichenko, Elena ;

Ringleb, Peter ;

Hacke, Werner ;

Veltkamp, Roland .

STROKE, 2012, 43 (10) :2689-+

[10] Cryptogenic Stroke and underlying Atrial Fibrillation (CRYSTAL AF): Design and rationale [J].

Sinha, Anil-Martin ;

Diener, Hans-Christoph ;

Morillo, Carlos A. ;

Sanna, Tommaso ;

Bernstein, Richard A. ;

Di Lazzaro, Vincenzo ;

Passman, Rod ;

Beckers, Frank ;

Brachmann, Johannes .

AMERICAN HEART JOURNAL, 2010, 160 (01) :36-U56

← 1 2 →