[Detection of atrial fibrillation after stroke].
Approximately every fourth stroke results from cardiac embolism. Atrial fibrillation has been recognized as a common cause for thromboembolic stroke. Detection of unknown atrial fibrillation is an important clinical challenge, as anticoagulation may effectively reduce the risk of recurrent ischemic stroke. In all patients with a cryptogenic stroke 24-h Holter monitoring should be performed in addition to a standard ECG to detect paroxysmal atrial fibrillation. In addition, it is useful to pay attention to atrial fibrillation during continuous bedside ECG monitoring on the stroke unit and in pacemaker interrogation. The indication for longer ECG monitoring by implantable loop recorders may be considered individually based on the expected probability of atrial fibrillation. The potential benefit of these devices is currently being evaluated in clinical trials.
Klinik III für Innere Medizin, Universität zu Köln, Köln, Deutschland. Uta.Hoppe@uni-koeln.de
U C
UC
Hoppe
D001281:Atrial Fibrillation / Q000175:diagnosis* / Q000209:etiology* / Q000517:prevention & control; D015716:Electrocardiography, Ambulatory / Q000379:methods*; D006801:Humans; D020521:Stroke / Q000150:complications* / Q000175:diagnosis*
Circulation. 2007 Jun 19;115(24):3050-6
17548732
Circ Arrhythm Electrophysiol. 2010 Apr;3(2):141-7
20160169
Stroke. 2010 Dec;41(12):2884-8
20966415
Nervenarzt. 2010 Apr;81(4):444-62
20177655
Ann Intern Med. 2007 Jun 19;146(12):857-67
17577005
J Am Coll Cardiol. 2004 Jan 7;43(1):47-52
14715182
Europace. 2009 May;11(5):671-87
19401342
J Stroke Cerebrovasc Dis. 2009 May-Jun;18(3):185-9
19426887
Circulation. 2006 Jul 4;114(1):18-25
16801461
Neurology. 2008 Nov 18;71(21):1696-701
18815386
Eur Heart J. 2010 Oct;31(19):2369-429
20802247
Stroke. 1985 Nov-Dec;16(6):950-6
4089926
Cerebrovasc Dis. 2010;30(4):410-7
20720410
Pacing Clin Electrophysiol. 1999 Jul;22(7):1082-4
10456638
Circ Arrhythm Electrophysiol. 2009 Oct;2(5):474-80
19843914
Stroke. 2004 Mar;35(3):e68-70
14963276
Stroke. 2007 Nov;38(11):2935-40
17901394
J Am Coll Cardiol. 2005 Nov 15;46(10):1913-20
16286180
Intern Med J. 2004 Jun;34(6):305-9
15228390
J Stroke Cerebrovasc Dis. 2009 May-Jun;18(3):178-84
19426886
Stroke. 2005 Jun;36(6):1115-9
15879330
Eur Heart J. 2006 Aug;27(16):1979-2030
16885201
Stroke. 2006 Feb;37(2):577-617
16432246
Eur Heart J. 2010 Apr;31(8):967-75
19176537
Stroke. 2009 Aug;40(8):2866-8
19461041
J Stroke Cerebrovasc Dis. 2012 Apr;21(3):210-6
20727789
Ann Noninvasive Electrocardiol. 2003 Jul;8(3):194-9
14510653
Acta Neurol Scand. 1996 Apr;93(4):297-302
8739442
Stroke. 2010 Nov;41(11):2596-600
20947860
Pacing Clin Electrophysiol. 2007 Sep;30(9):1121-8
17725756
Stroke. 2004 Jul;35(7):1647-51
15155965