Selective Reporting: Silent Atrial Fibrillation and Cryptogenic Strokes

I read with interest the article by Dalen and Alpert.1 Bothersome to me was the selectiveness of the data reported and the somewhat biased resultant interpretation. Consider: they did not mention the pivotal Cryptogenic Stroke and Underlying AF trial,2 in which the unmonitored control group had atrial fibrillation detected in 3% by 36 months, versus 3.7%, 8.9%, 12.4%, and 30.0% at 1, 6, 12, and 36 months, respectively, in the implanted monitor group. Notably, not only was the detection rate frequent with the implanted monitor but also greater than could have occurred with any external monitoring.
Source: The American Journal of Medicine - Category: General Medicine Authors: Tags: AJM online Source Type: research