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Condition: Atrial Fibrillation
Procedure: Electrocardiogram

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Total 721 results found since Jan 2013.

Protocol for a Systematic Review and Individual Participant Data Meta-Analysis of Randomized Trials of Screening for Atrial Fibrillation to Prevent Stroke
Thromb Haemost. 2023 Mar;123(3):366-376. doi: 10.1055/s-0042-1760257. Epub 2023 Mar 2.ABSTRACTINTRODUCTION: Atrial fibrillation (AF) is a common cause of stroke. Timely diagnosis of AF and treatment with oral anticoagulation (OAC) can prevent up to two-thirds of AF-related strokes. Ambulatory electrocardiographic (ECG) monitoring can identify undiagnosed AF in at-risk individuals, but the impact of population-based ECG screening on stroke is uncertain, as ongoing and published randomized controlled trials (RCTs) have generally been underpowered for stroke.METHODS AND ANALYSIS: The AF-SCREEN Collaboration, with support from...
Source: Thrombosis and Haemostasis - March 2, 2023 Category: Hematology Authors: AF SCREEN and AFFECT-EU Collaborators Source Type: research

Screening for Asymptomatic Atrial Fibrillation While Monitoring the Blood Pressure at Home: Trial of Regular Versus Irregular Pulse for Prevention of Stroke (TRIPPS 2.0)
In conclusion, home screening for asymptomatic AF while taking BP measurements can be performed accurately. This can be used to detect new AF, allowing treatment with anticoagulation to reduce the future risk for stroke.
Source: The American Journal of Cardiology - March 18, 2013 Category: Cardiology Authors: Joseph Wiesel, Saji Abraham, Frank C. Messineo Tags: Arrhythmias and Conduction Disturbances Source Type: research

Clinical predictors to identify paroxysmal atrial fibrillation after ischaemic stroke
ConclusionsIn acute stroke patients with advanced age, history of coronary artery disease and clinical symptoms >24 h, a prolonged Holter ECG monitoring and follow‐up is warranted to identify pAF. This could increase the detection rate of patients requiring anticoagulation and may be able to reduce the risk of recurrent stroke in the case of successful anticoagulation of these patients.
Source: European Journal of Neurology - May 24, 2013 Category: Neurology Authors: J. Wohlfahrt, R. Stahrenberg, M. Weber‐Krüger, S. Gröschel, K. Wasser, F. Edelmann, J. Seegers, R. Wachter, K. Gröschel Tags: Original Article Source Type: research

Finding atrial fibrillation in stroke patients: Randomized evaluation of enhanced and prolonged Holter monitoring—Find-AFRANDOMISED —rationale and design
Background: Detecting paroxysmal atrial fibrillation (AF) in patients with ischemic strokes presenting in sinus rhythm is challenging because episodes are often short, occur randomly, and are frequently asymptomatic. If AF is detected, recurrent thromboembolism can be prevented efficiently by oral anticoagulation. Numerous uncontrolled studies using various electrocardiogram (ECG) devices have established that prolonged ECG monitoring increases the yield of AF detection, but most established procedures are time-consuming and costly. The few randomized trials are mostly limited to cryptogenic strokes. The optimal method, du...
Source: American Heart Journal - July 7, 2014 Category: Cardiology Authors: Mark Weber-Krüger, Götz Gelbrich, Raoul Stahrenberg, Jan Liman, Pawel Kermer, Gerhard F. Hamann, Joachim Seegers, Klaus Gröschel, Rolf Wachter, Find-AFRANDOMISED investigators Tags: Trial Designs Source Type: research

Controversies in Cardioembolic Stroke
Opinion statement Cardioembolic (CE) stroke mechanisms account for a significant number of ischemic strokes; however, the true burden is likely underestimated. It is critically important to identify patients with CE strokes because these individuals have high recurrence rates and represent a subgroup of patients who may benefit from targeted therapy in the form of anticoagulation or device based treatments. Current guidelines offer recommendations for diagnosis and treatment of these patients; however, important questions remain. First, appropriate cardiac testing in the setting of CE must be individualized and t...
Source: Current Treatment Options in Cardiovascular Medicine - November 9, 2014 Category: Cardiology Source Type: research

Atrial Fibrillation in Young Ischemic Stroke Patients: An Underestimated Cause
Conclusion: AF was detected in 10.2% of young stroke patients and paroxysmal form of AF prevailed. Using of long-term ECG Holter monitoring improved the detection of AF. Patients with presence of AF had more frequently elevated serum specific cardiac markers.Eur Neurol 2015;73:158-163
Source: European Neurology - January 8, 2015 Category: Neurology Source Type: research

A cost-effectiveness analysis of screening for silent atrial fibrillation after ischaemic stroke
Conclusion Screening of silent AF by intermittent ECG recordings in patients with a recent ischaemic stroke is a cost-effective use of health care resources saving costs and lives and improving the quality of life.
Source: Europace - January 29, 2015 Category: Cardiology Authors: Levin, L.-A., Husberg, M., Sobocinski, P. D., Kull, V. F., Friberg, L., Rosenqvist, M., Davidson, T. Tags: Atrial fibrillation Source Type: research

Use of healthcare resources and costs of acute cardioembolic stroke management in the Region of Madrid: The CODICE Study
Conclusions Acute CS management in the Region of Madrid consumes large amounts of resources (€13139), mainly due to hospital stays and rehabilitation.
Source: Neurologia - November 5, 2015 Category: Neurology Source Type: research

High Sensitivity C-Reactive Protein and Risk of Stroke in Atrial Fibrillation (From the Reasons for Geographic and Racial Differences in Stroke Study REGARDS)
The relationship between inflammation and prothrombotic state in atrial fibrillation (AF) is well recognized. This suggests a potential role for high sensitivity C-reactive protein (hs-CRP), a marker of systemic inflammation, in improving prediction of stroke in participants with AF. Cox proportional hazard analysis was used to examine the risk of stroke in 25,841 participants (40% black, 55% women) with and without AF who were enrolled in the REGARDS study between 2003 and 2007. Baseline AF (n=2,132) was ascertained by electrocardiogram and self-reported history of previous physician diagnosis.
Source: The American Journal of Cardiology - September 13, 2016 Category: Cardiology Authors: Farah Z. Dawood, Suzanne Judd, Virginia J. Howard, Nita A. Limdi, James F. Meschia, Mary Cushman, George Howard, David M. Herrington, Elsayed Z. Soliman Source Type: research

Duration of paroxysmal atrial fibrillation in cryptogenic stroke is not associated with stroke severity and early outcomes
The current definition of paroxysmal atrial fibrillation (PAF) requires an arbitrary cut-off of>30s, but in clinical practice cryptogenic stroke (CS) patients with PAF duration of ≤30s are not usually excluded from anticoagulation therapy. We sought to evaluate the clinical relevance of short-duration (≤30s) PAF in CS. Consecutive CS patients with no prior AF history and sinus-rhythm on baseline electrocardiography (ECG) were prospectively evaluated over a three-year peri od. Baseline stroke severity was assessed by NIHSS-scores.
Source: Journal of the Neurological Sciences - March 23, 2017 Category: Neurology Authors: Chrissoula Liantinioti, Konstantinos Tympas, Aristeidis H. Katsanos, John Parissis, Maria Chondrogianni, Christina Zompola, Georgios Papadimitropoulos, Michael Ioakeimidis, Sokratis Triantafyllou, Andromaxi Roussopoulou, Konstantinos Voumvourakis, John Le Source Type: research

Disentangling the risk of atrial fibrillation detected after ischemic stroke (AFDAS): A real challenge in clinical practice
Atrial fibrillation (AF) can be newly-diagnosed in up to 24% of patients with ischemic stroke [1]. The entity so called “AF detected after stroke” (AFDAS) has been created to acknowledge the complexity of diagnosing and managing these patients [2]. AFDAS may be a pre-existing AF condition that is unknown and/or asymptomatic, and is only diagnosed because of thorough post-stroke electrocardiographic monitoring in a yet unknown proportion of patients. Conversely, it may also be the consequence of neurogenic AF mechanisms triggered by the presence of a stroke.
Source: International Journal of Cardiology - April 13, 2018 Category: Cardiology Authors: Luciano A. Sposato, Renato D. Lopes Tags: Editorial Source Type: research

Electrocardiographic Monitoring for Prevention of AF-Associated Cardioembolic Stroke
Screening appropriate populations for atrial fibrillation has become an important clinical question, because cardioembolic stroke may be the first clinical manifestation of atrial fibrillation. In this issue ofJAMA, the US Preventive Services Task Force (USPSTF) provides its Recommendation Statement on screening for atrial fibrillation with electrocardiography (ECG), based on a detailed review of the evidence. For a substantial number of patients, atrial fibrillation may first be diagnosed concurrent with the stroke or in follow-up. Given the known association of atrial fibrillation with stroke and that anticoagulation can...
Source: JAMA - August 7, 2018 Category: General Medicine Source Type: research

Race, Sex, Age, and Regional Differences in the Association of Obstructive Sleep Apnea With Atrial Fibrillation: Reasons for Geographic and Racial Differences in Stroke Study
Conclusions:High risk of OSA is associated with prevalent AF among blacks but not whites.Commentary:A commentary on this article appears in this issue on page 1459.Citation:Ghazi L, Bennett A, Petrov ME, Howard VJ, Safford MM, Soliman EZ, Glasser SP. Race, sex, age and regional differences in the association of obstructive sleep apnea with atrial fibrillation: reasons for geographic and racial differences in stroke study.J Clin Sleep Med. 2018;14(9):1485–1493.
Source: Journal of Clinical Sleep Medicine : JCSM - September 14, 2018 Category: Sleep Medicine Source Type: research