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Neurology: Long-term ECG monitoring (PCM) after stroke improves the detection rate of atrial fibrillation and starts the application of anticoagulant drugs. The long-term benefits of stroke prevention need to be further demonstrated!

 Last Update: 2022-04-24
 Source: Internet
 Author: User

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Prolonged cardiac rhythm monitoring (PCM) after stroke has revealed that a substantial proportion of patients with ischemic stroke (IS) have atrial fibrillation (AF) , which is not detected by traditional cardiac rhythm monitoring strategies

In the current systematic review and meta-analysis, we sought to assess the impact of PCM on secondary stroke prevention by analyzing data from randomized controlled clinical trials (RCTs) and observational studies available to date

We searched the MEDLINE and Scope us databases to identify studies of stroke recurrence rates in patients with a history of recent IS or transient ischemic attack (TIA) who received PCM compared with patients who received conventional heart rhythm monitoring

Eight studies (5 RCTs, 3 observational studies; 2994 patients) were included

PCM after IS or TIA can lead to higher rates of AF detection and initiation of anticoagulants

Source: Tsivgoulis, Georgios et al.
“Prolonged Cardiac Monitoring and Stroke Recurrence: A Meta-analysis.
” Neurology, 10.
1212/WNL.
0000000000200227.
9 Mar.
2022, doi:10.
1212/WNL.
0000000000200227

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