Usefulness of Rhythm Monitoring Following Acute Ischemic Stroke

Atrial fibrillation (AF) is a well-recognized risk factor for ischemic stroke, and AF-related strokes are typically severe.1,2 Recognizing AF as the underlying mechanism of stroke is important, as oral anticoagulation substantially reduces risk of recurrent stroke.3 –5 AF is frequently subclinical, however, and detected only after extended rhythm monitoring.6–8 As a result, current guidelines provide a Class IIa recommendation (moderate strength and good quality evidence) for extended rhythm monitoring (“∼ 30 days”) within six months following cryptog enic stroke (i.e., strokes with no apparent mechanism).

Source: The American Journal of Cardiology - February 19, 2021 Category: Cardiology Authors: Shaan Khurshid, Xinye Li, Jeffrey M. Ashburner, Ana T. Trisini Lipsanopoulos, Priscilla R. Lee, Aimee K. Lin, Darae Ko, Patrick T. Ellinor, Lee H. Schwamm, Emelia J. Benjamin, Steven J. Atlas, Daniel E. Singer, Christopher D. Anderson, Ludovic Trinquart, Source Type: research