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Procedure: Electrocardiogram
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Total 1439 results found since Jan 2013.
Troponin Elevation Predicts Atrial Fibrillation in Patients with Stroke or Transient Ischemic Attack
Conclusions: cTnI elevation predicts new-onset AF on 24-hour Holter measurement in patients with acute ischemic stroke or TIA and may indicate a poorer prognosis and a higher risk of stroke, MI, and death at 3 months.
Source: Journal of Stroke and Cerebrovascular Diseases - February 17, 2012 Category: Neurology Authors: Isabelle Beaulieu-Boire, Nancy Leblanc, Léo Berger, Jean-Martin Boulanger Tags: Original Articles Source Type: research
Brain Natriuretic Peptide: A Relevant Marker to Rule Out Delayed Atrial Fibrillation in Stroke Patient
Detection of new atrial fibrillation (AF) after ischemic stroke is challenging. The aim of the TARGET-AF study was to identify relevant markers for ruling out delayed AF in stroke patients. Early and prolonged Holter electrocardiography (ECG) monitoring during hospitalization was performed systematically in consecutive acute stroke patients naive to AF (no history of AF or no AF on baseline ECG). All clinical and paraclinical data for routine etiologic assessment were collected. The diagnostic value of all parameters significantly associated with AF was assessed by comparison of area under the receiver operating characteri...
Source: Journal of Stroke and Cerebrovascular Diseases - September 25, 2012 Category: Neurology Authors: Laurent Suissa, Saskia Bresch, Sylvain Lachaud, Marie Hélène Mahagne Tags: Original Articles Source Type: research
Optimal Timing and Duration of Continuous Electrocardiographic Monitoring for Detecting Atrial Fibrillation in Stroke Patients
Conclusions: We suggest that in order to enhance the detection rate of AF, CEM could be generalized in the stroke unit. It must be started early in patients with acute stroke and prolonged over a minimum of 4 days.
Source: Journal of Stroke and Cerebrovascular Diseases - February 20, 2012 Category: Neurology Authors: Laurent Suissa, Sylvain Lachaud, Marie Hélène Mahagne Tags: Original Articles Source Type: research
Does the Magnitude of the Electrocardiogram QT Interval Dispersion Predict Stroke Outcome? (P7.154)
CONCLUSIONS: We were unable to demonstrate that QTd is useful in predicting clinical outcome at discharge in AIS.Disclosure: Dr. Lederman has nothing to disclose. Dr. Steinberg has nothing to disclose. Dr. Balucani has nothing to disclose. Dr. Philip has nothing to disclose. Dr. Lazar has nothing to disclose. Dr. Weedon has nothing to disclose. Dr. Mirchandani has nothing to disclose. Dr. Viticchi has nothing to disclose. Dr. Falsetti has nothing to disclose. Dr. Silvestrini has nothing to disclose. Dr. Gugger has nothing to disclose. Dr. Aharonoff has nothing to disclose. Dr. Piran has nothing to disclose. Dr. Adler has n...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Lederman, Y., Steinberg, L., Balucani, C., Philip, C., Lazar, J., Weedon, J., Mirchandani, G., Viticchi, G., Falsetti, L., Silvestrini, M., Gugger, J., Aharonoff, D., Piran, P., Adler, Z., Levine, S. Tags: Cerebrovascular Disease and Interventional Neurology: Predictors of Outcome After Ischemic Stroke Source Type: research
Canadian Stroke Best Practice Recommendations: secondary prevention of stroke guidelines, update 2014
Every year, approximately 62 000 people with stroke and transient ischemic attack are treated in Canadian hospitals. The 2014 update of the Canadian Secondary Prevention of Stroke guideline is a comprehensive summary of current evidence‐based recommendations for clinicians in a range of settings, who provide care to patients following stroke. Notable changes in this 5th edition include an emphasis on treating the highest risk patients who present within 48 h of symptom onset with transient or persistent motor or speech symptoms, who need to be transported to the closest emergency department with capacity for advanced...
Source: International Journal of Stroke - December 23, 2014 Category: Neurology Authors: Shelagh B. Coutts, Theodore H. Wein, M. Patrice Lindsay, Brian Buck, Robert Cote, Paul Ellis, Norine Foley, Michael D. Hill, Sharon Jaspers, Albert Y. Jin, Brenda Kwiatkowski, Carolyn MacPhail, Dana McNamara‐Morse, Michael S. McMurtry, Tania Mysak, Andr Tags: Guidelines Source Type: research
Electrocardiographic RR Interval Dynamic Analysis to Identify Acute Stroke Patients at High Risk for Atrial Fibrillation Episodes During Stroke Unit Admission
AbstractPatients at short-term risk of paroxysmal atrial fibrillation (PAF) often exhibit increased RR interval variability during sinus rhythm. We studied if RR dynamic analysis, applied in the first hours after stroke unit (SU) admission, identified acute ischemic stroke patients at higher risk for subsequent PAF episodes detected within the SU hospitalization. Acute ischemic stroke patients underwent continuous cardiac monitoring (CCM) using standard bedside monitors immediately after SU admission. The CCM tracks from the first 48 h were analyzed using a telemedicine service (SRA clinic, Apoplex Medical, Germany). Bas...
Source: Translational Stroke Research - July 3, 2018 Category: Neurology Source Type: research
Association between Paroxysmal Atrial Fibrillation and the Left Atrial Appendage Ejection Fraction during Sinus Rhythm in the Acute Stage of Stroke: A Transesophageal Echocardiographic Study
This study aimed to investigate whether left atrial appendage (LAA) dysfunction evaluated by transesophageal echocardiography (TEE) during sinus rhythm is predictable of paroxysmal atrial fibrillation (PAF) as an embolic source in the acute stage of stroke.Methods and Results: We measured and analyzed LAA flow velocity (LAA-FV) and LAA ejection fraction (LAA-EF) in 300 acute ischemic stroke patients by TEE. We divided the acute ischemic stroke patients into 3 groups. The atrial fibrillation (AF) group (n = 58) comprised patients whose TEE was performed during AF rhythm. The PAF group (n = 42) comprised patients with a hist...
Source: Journal of Stroke and Cerebrovascular Diseases - April 22, 2013 Category: Neurology Authors: Takahiro Shimizu, Tatsuro Takada, Atsuko Shimode, Yuichi Fujita, Noriko Usuki, Bunta Kato, Satoshi Takaishi, Toshikazu Hirayama, Kazuhiko Hanzawa, Yasuhiro Hasegawa Tags: Original Articles Source Type: research
Diagnostic Yield of Prolonged Cardiac Rhythm Monitoring in Cryptogenic Stroke (I2-1.003)
CONCLUSIONS: Our study demonstrates the diagnostic yield of cardiac rhythm monitoring of up to 30 days is significantly lower than previously reported. This may be secondary to differences in monitoring devices used, the variability in definition of cryptogenic stroke, and duration of monitoring. Alternatively, longer duration of monitoring with implantable devices may be needed to detect paroxysmal AF, particularly in those with clinical, electrocardiographic or echocardiographic features associated with this dysrhythmia.Disclosure: Dr. Kalani has nothing to disclose. Dr. Bernstein has received personal compensation for a...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Kalani, R., Bernstein, R., Curran, Y., Ruff, I., Prabhakaran, S. Tags: New Antithrombotic Agents for Stroke Prevention Poster Presentations Source Type: research
Atrial Fibrillation and Paroxysmal Atrial Fibrillation Detection in Patients with Acute Ischemic Stroke
Conclusions: AF/PAF was one of the common causes of ischemic stroke in Thai patients. Most PAF was detected by continuous ECG monitoring. Snapshot 12-lead ECG and continuous ECG monitoring should be recommended in all patients with acute ischemic stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - November 4, 2013 Category: Neurology Authors: Panee Sutamnartpong, Pornpatr A. Dharmasaroja, Disya Ratanakorn, IngOrn Arunakul Tags: Original Articles Source Type: research
Clinical Outcome of Ischemic Stroke in Old Patients Versus Oldest-Old
Background: It is unclear whether very old patients benefit from stroke unit. The aim of our work was to compare the clinical outcome of patients with ischemic stroke aged either 70 or 80 (G 1) versus oldest-old greater than or equal to 81years (G 2). Methods: Of 1187 patients admitted with stroke during 5 years in our stroke unit, we included 252 patients with independent functional status (modified Rankin scale, [mRS] ≤ 2) before the stroke. All patients underwent clinical examination, blood test, electrocardiography, brain imaging, and cerebrovascular ultrasound.
Source: Journal of Stroke and Cerebrovascular Diseases - September 29, 2018 Category: Neurology Authors: Dolores Cocho, Sulema Yarleque, Anuncia Boltes, Jordi Espinosa, Jordi Ciurans, Claustre Pont-Sunyer, Jordi Pons Source Type: research
Atrial Fibrillation Detected after Acute Ischemic Stroke: Evidence Supporting the Neurogenic Hypothesis
Background: It is unknown whether atrial fibrillation (AF) detected after acute ischemic stroke is caused by neurogenic or cardiogenic mechanisms. Based on the potential damage to the autonomic nervous system, neurogenic mechanisms could be implicated in the pathophysiology of newly diagnosed AF. To test this hypothesis, we developed a mechanistic approach by comparing a prespecified set of indicators in acute ischemic stroke patients with newly diagnosed AF, known AF, and sinus rhythm.Methods: We prospectively assessed every acute ischemic stroke patient undergoing continuous electrocardiographic monitoring from 2008 thro...
Source: Journal of Stroke and Cerebrovascular Diseases - June 24, 2013 Category: Neurology Authors: María E. González Toledo, Francisco R. Klein, Patricia M. Riccio, Fátima Pagani Cassará, Francisco Muñoz Giacomelli, Juan M. Racosta, Eleanor S. Roberts, Luciano A. Sposato Tags: Original Articles Source Type: research
Relationship between QT Interval Dispersion in Acute Stroke and Stroke Prognosis: A Systematic Review
QT dispersion (QTd) has been proposed as an indirect electrocardiography (ECG) measure of heterogeneity of ventricular repolarization. The predictive value of QTd in acute stroke remains controversial. We aimed to clarify the relationship between QTd and acute stroke and stroke prognosis.
Source: Journal of Stroke and Cerebrovascular Diseases - October 2, 2014 Category: Neurology Authors: Yitzchok S. Lederman, Clotilde Balucani, Jason Lazar, Leah Steinberg, James Gugger, Steven R. Levine Tags: Review Article Source Type: research
Electrocardiographic Monitoring for Detecting Atrial Fibrillation After Ischemic Stroke or Transient Ischemic Attack: Systematic Review and Meta-Analysis Original Articles
Conclusions—
Longer duration of electrocardiographic monitoring after cryptogenic stroke is associated with a greater detection of AF. Future investigation is needed to determine the optimal duration of long-term monitoring.
Source: Circulation: Arrhythmia and Electrophysiology - April 21, 2015 Category: Cardiology Authors: Dussault, C., Toeg, H., Nathan, M., Wang, Z. J., Roux, J.-F., Secemsky, E. Tags: Other diagnostic testing, Embolic stroke Original Articles Source Type: research
P-Wave Terminal Force in Lead V1 Predicts Paroxysmal Atrial Fibrillation in Acute Ischemic Stroke
In this study, we aimed to investigate the utility of PTFV1 for the prediction of PAF in patients with acute ischemic stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - July 14, 2017 Category: Neurology Authors: Toshiaki Goda, Yukio Sugiyama, Nobuyuki Ohara, Takeshi Ikegami, Kotaro Watanabe, Junya Kobayashi, Daisuke Takahashi Source Type: research
Certification criteria for stroke units in Germany : Update 2018.
This article describes the revised criteria for certified stroke units (SU) in Germany that will apply from 1 October 2018. Due to the high level of quality only minor adjustments and specifications were necessary in many places and the majority of criteria remained unchanged. For the first time a uniform personnel quota of ≥1.75 full-time staff per monitor bed is defined, which is a better reflection of the treatment reality. The evidence-based process of acute vascular imaging using computed tomography angiography (CTA) and alternatively magnetic resonance angiography (MRA) is now defined as a minimum rate of≥20 % ...
Source: Der Nervenarzt - October 29, 2018 Category: Neurology Authors: Nabavi DG, Koennecke HC, Ossenbrink M, Grau A, Busse O, die Stroke Unit Kommission, den Zertifizierungsausschuss der DSG, den Vorstand der DSG, den Zertifizierungsausschuss der DSG Tags: Nervenarzt Source Type: research
