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Condition: Atrial Fibrillation
Procedure: Electrocardiogram
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Total 721 results found since Jan 2013.
Atrial Fibrillation After Ischemic Stroke Detected by Chest Strap-Style 7-Day Holter Monitoring and the Risk Predictors: EDUCATE-ESUS.
CONCLUSIONS: In recent ESUS patients, the detection rate of AF using the 7-day Holter monitoring was 6.8% (95% CI 4.1%-11.1%). Brain natriuretic peptide, APC count, and APC short runs in the standard clinical workup seemed to be predictors of covert AF.
PMID: 32801289 [PubMed - as supplied by publisher]
Source: Journal of Atherosclerosis and Thrombosis - August 19, 2020 Category: Cardiology Tags: J Atheroscler Thromb Source Type: research
Detection of Atrial Fibrillation on Stroke Units: Comparison of Manual versus Automatic Analysis of Continuous Telemetry
Conclusion: Automatic AF detection is highly specific, but sensitivity is relatively low. Results of this study suggest that automated computer-based AF detection should be rather complementary to manual ECG analysis than replacing it.Cerebrovasc Dis
Source: Cerebrovascular Diseases - November 18, 2020 Category: Neurology Source Type: research
Ischemic stroke in a patient with interatrial block: Is it only a coincidence or a clear relationship?
Monaldi Arch Chest Dis. 2021 Apr 13;91(2). doi: 10.4081/monaldi.2021.1692.ABSTRACTAtrial fibrillation (AF) can be detected in nearly 25% of all patients with stroke by sequentially combining different electrocardiographic methods. Prediction of early cardio-embolic stroke remain a permanent challenge in everyday practice. The early identification of an increased risk for atrial fibrillation episodes (which are frequently asymptomatic) is essential for the prevention of cardioembolic events. One of the noninvasive modalities of atrial fibrillation prediction is represented by the electrocardiographic P-wave analysis. This i...
Source: Monaldi Archives for Chest Disease - April 14, 2021 Category: Respiratory Medicine Authors: Athanassios Antonopoulos Laila Fiorani Source Type: research
Electrocardiographic markers of incident atrial fibrillation in patients with cryptogenic stroke
Conclusion: PWD and P-wave axis predicted incident AF in this subset of pts with cryptogenic stroke. The ECG may be a toll to identify pts at risk of developing AF, although larger studies are needed to confirm these results. Abstract Figure.
Source: Europace - May 24, 2021 Category: Cardiology Source Type: research
The efficacy and safety of insertable cardiac monitor on atrial fibrillation detection in patients with ischemic stroke: a systematic review and meta-analysis
AbstractAtrial fibrillation (AF) leads to a high risk of recurrent stroke, and the insertable cardiac monitor (ICM), as a new kind of electrocardiographic monitoring device, has been proven to enhance the recognition rate of AF. The aim of this systematic review was to evaluate the efficacy and safety of the ICM use in AF detection of patients with stroke. We pooled 1233 patients from three randomized controlled trials (RCTs). The detection rate of AF was superior in the ICM group to that in the control group at 6 months (risk ratio [RR], 4.63;P < 0.0001; 95% confidence interval [CI], 2.17–9.90) and 12 months ...
Source: Journal of Neurology - April 21, 2022 Category: Neurology Source Type: research
Stroke Severity in Atrial Fibrillation Screening
This post hoc analysis of the Atrial Fibrillation Detected by Continuous Electrocardiogram Monitoring Using Implantable Loop Recorder to Prevent Stroke in High-Risk Individuals (LOOP) randomized clinical trial investigates if implantable loop recorder screening for atrial fibrillation can reduce the risk of severe stroke in individuals with risk factors or prior stroke history.
Source: JAMA Neurology - August 29, 2022 Category: Neurology Source Type: research
Electrocardiographic Morphology-Voltage-P-Wave-Duration (MVP) Score to Select Patients for Continuous Atrial Fibrillation Screening to Prevent Stroke
Morphology-voltage-P-wave-duration (MVP) score combining P-wave duration (PWD), P-wave voltage in lead I (PWVI), and interatrial block (IAB) has been demonstrated to predict atrial fibrillation (AF). Therefore, this study aimed to examine MVP score and its P-wave components as potential predictors of AF screening effects on stroke prevention. This was a secondary analysis of the LOOP Study (Atrial Fibrillation detected by Continuous ECG Monitoring using Implantable Loop Recorder to prevent Stroke in High-risk Individuals) which randomized older persons (aged 70 to 90 years) with additional stroke risk factors to either c...
Source: The American Journal of Cardiology - September 2, 2023 Category: Cardiology Authors: Lucas Yixi Xing, S øren Zöga Diederichsen, Søren Højberg, Derk Krieger, Claus Graff, Morten Salling Olesen, Jonas Bille Nielsen, Axel Brandes, Lars Køber, Ketil Jørgen Haugan, Jesper Hastrup Svendsen Source Type: research
ECG Abnormalities and Stroke IncidenceECG Abnormalities and Stroke Incidence
ECG plays an important role in detection of several stroke risk predictors including atrial fibrillation and left ventricular hypertrophy. What other gems can we glean from ECGs? Expert Review of Cardiovascular Therapy
Source: Medscape Today Headlines - August 28, 2013 Category: Consumer Health News Tags: Cardiology Journal Article Source Type: news
An Emergency Department Intervention to Increase Warfarin Use for Atrial Fibrillation
Conclusions: This practical stroke prevention quality improvement initiative was not associated with an increase in warfarin use among ED patients with AF.
Source: Journal of Stroke and Cerebrovascular Diseases - December 20, 2012 Category: Neurology Authors: Lesli E. Skolarus, Lewis B. Morgenstern, Phillip A. Scott, Lynda D. Lisabeth, Jillian B. Murphy, Erin M. Migda, Devin L. Brown Tags: Original Articles Source Type: research
Simultaneous onset of myocardial infarction and ischemic stroke in a patient with atrial fibrillation: Multiple territory injury revealed on angiography and magnetic resonance
An 84-year-old man with a history of hypertension and paroxysmal atrial fibrillation (AF) who received no anticoagulant drugs experienced acute chest pain and transient loss of consciousness. He was transferred to our emergency room. His initial electrocardiogram showed sinus rhythm with ST-segment elevation in the I, aVL, and V1–V6 leads. His blood pressure was 158/92mmHg and his pulse was regular at 70beats per minute. A chest radiograph showed increased heart size and pulmonary vascular congestion. His troponin T level was elevated (more than 0.1ng/mL). He was diagnosed with ST-elevation myocardial infarction (MI) and...
Source: International Journal of Cardiology - February 4, 2014 Category: Cardiology Authors: Osamu Hashimoto, Kozo Sato, Yohei Numasawa, Joji Hosokawa, Masahiro Endo Tags: Online Letters to the Editor Source Type: research
Automatic detection of paroxysmal atrial fibrillation in patients with ischaemic stroke: better than routine diagnostic workup?
ConclusionsAlthough it should not completely replace RA, SA‐based evaluation of Holter ECG reaches a high diagnostic effectiveness for the detection of pAF and can be used for a rapid and resource‐saving analysis of ECG data to deal with prolonged monitoring times.
Source: European Journal of Neurology - May 15, 2017 Category: Neurology Authors: T. Uphaus, A. Grings, S. Gr öschel, A. Müller, M. Weber‐Krüger, R. Wachter, K. Gröschel Tags: Original Article Source Type: research
Correspondence Atrial fibrillation in high-risk patients with ischaemic stroke
In their Article, Rolf Wachter and colleagues1 report important evidence for secondary prevention after stroke and show that, after non-large-artery stroke, three 10-day Holter-electrocardiograms (ECGs) increased the detection rate of atrial fibrillation by 9% compared with standard care involving only one 24 h Holter-ECG. The authors point out that long-term Holter-ECGs were easier to integrate into the routine work-up than specialised external loop recorders or implanted devices because they were widely available, familiar to most physicians, and inexpensive.
Source: Lancet Neurology - June 14, 2017 Category: Neurology Authors: Stefan Knecht, Sebastian Petsch, Bettina Studer Tags: Correspondence Source Type: research
Atrial fibrillation and stroke as initial manifestations of painless type A aortic dissection
In conclusion, apart from imaging the aortic arch by computed tomography in acute stroke patients, the electrocardiogram may be indicative for aortic dissection if it shows signs for myocardial ischemia in previously healthy patients.
Source: Polish Journal of Neurology and Neurosurgery - July 21, 2017 Category: Neurosurgery Source Type: research
Smoking and risk of atrial fibrillation in the REasons for Geographic And Racial Differences in Stroke (REGARDS) study.
CONCLUSIONS: The association between smoking and AF is possibly mediated by a higher prevalence of cardiovascular risk factors in smokers, but there is marked heterogeneity in the strength of this association among subgroups which may explain the conflicting results in prior studies.
PMID: 28886993 [PubMed - as supplied by publisher]
Source: Journal of Cardiology - September 5, 2017 Category: Cardiology Authors: Imtiaz Ahmad M, Mosley CD, O'Neal WT, Judd SE, McClure LA, Howard VJ, Howard G, Soliman EZ Tags: J Cardiol Source Type: research
