Detection of Atrial Fibrillation in Cryptogenic Stroke

被引：32

作者：

Haeusler, Karl Georg ^{[1
,2
,3
,4
]}

Tuetuencu, Serdar ^{[2
]}

Schnabel, Renate B. ^{[3
,5
,6
]}

机构：

[1] Charite Univ Med Berlin, Dept Neurol, Berlin, Germany

[2] Charite Univ Med Berlin, Ctr Stroke Res Berlin, Campus Benjamin Franklin,Hindenburgdamm 30, D-12203 Berlin, Germany

[3] Atrial Fibrillat NETwork AFNET eV, Munster, Germany

[4] Univ Klinikum Wurzburg, Dept Neurol, Wurzburg, Germany

[5] Univ Herzzentrum Hamburg, Abt Allgemeine & Intervent Kardiol, Hamburg, Germany

[6] Deutsch Zentrum Herz Kreislauf Forsch eV DZHK, Partner Site Hamburg Kiel Lubeck, Lubeck, Germany

来源：

CURRENT NEUROLOGY AND NEUROSCIENCE REPORTS | 2018年 / 18卷 / 10期

基金：

欧洲研究理事会;

关键词：

Ischemic stroke; Atrial fibrillation; ECG monitoring; Stroke unit; Cryptogenic stroke; Embolic stroke of undetermined source; TRANSIENT ISCHEMIC ATTACK; UNDETERMINED SOURCE; RISK; ELECTROCARDIOGRAM; GUIDELINES; MANAGEMENT; IMPACT;

D O I：

10.1007/s11910-018-0871-1

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

To summarize the literature on the detection of atrial fibrillation (AF) in patients with "cryptogenic" stroke, a cohort including about 25% of all ischemic stroke patients and patients with embolic stroke of undetermined source (ESUS). A first episode of AF is detected in up to one third of cryptogenic stroke and in up to one fourth of ESUS patients during long-term monitoring. AF prevalence correlates to patient selection, duration, and quality of ECG monitoring. Higher rates of AF were reported in stroke patients with left atrial pathology, specific ECG alterations, or increased natriuretic peptides. While AF detection impacts on medical stroke prevention in the vast majority of patients, patient selection for prolonged monitoring is largely left at the physician's discretion. AF detection after cryptogenic stroke or ESUS is a frequent, potentially causal condition. Whether subsequent oral anticoagulation may improve outcome remains open.

引用

页数：7

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