2020
DOI: 10.1161/jaha.120.016040
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Predictors of Atrial Fibrillation During Long‐Term Implantable Cardiac Monitoring Following Cryptogenic Stroke

Abstract: Background Following cryptogenic stroke, guidelines recommend cardiac monitoring for occult atrial fibrillation (AF). We aimed to evaluate predictors of AF during long‐term implantable cardiac monitoring. Methods and Results We studied 293 consecutive patients who underwent implantable cardiac monitor implant (Medtronic LINQ) following hospitalization for cryptogenic stroke at the University of Rochester Medical Center from January 2013 t… Show more

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Cited by 17 publications
(14 citation statements)
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“…27 In other ICM studies, CS patients with no AF detections were younger than those with detections. 28,29 Similar age-dependent effects were reported from other stroke populations and/or other monitoring methods. 31,32 Overall, clinical data suggest that AF is an uncommon finding in CS patients <55 years, with the likelihood of detecting AF increasing sharply with older age.…”
Section: Predictors For Af Detectionsupporting
confidence: 76%
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“…27 In other ICM studies, CS patients with no AF detections were younger than those with detections. 28,29 Similar age-dependent effects were reported from other stroke populations and/or other monitoring methods. 31,32 Overall, clinical data suggest that AF is an uncommon finding in CS patients <55 years, with the likelihood of detecting AF increasing sharply with older age.…”
Section: Predictors For Af Detectionsupporting
confidence: 76%
“…23 Similarly, a CHA 2 DS 2 -VASc score ⩾6 was associated with increased AF detection rates. 28 An AF-ESUS score ⩽0 was reported to have a 100% negative predictive value for the identification of AF episodes lasting >10 h, 83.9% for AF episodes >6 h, and 64.5% for AF episodes >6 min. 39 The PFO-Associated Stroke Causal Likelihood (PASCAL) Classification System 8 integrates information regarding the presence of high-risk PFO factors (large shunt size, atrial septal aneurysm (ASA)) and the risk of paradoxical embolism (RoPE) score and provides a categorized likelihood of a causal role of the PFO in stroke pathogenesis.…”
Section: Predictors For Af Detectionmentioning
confidence: 99%
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“…In einer Reihe von Studien zur Detektion von Rhythmusstörungen bei Patienten mit kryptogenem Schlaganfall und implantierbaren Eventrekordern (ICM) wurden Detektionsraten von Vorhofflimmern zwischen 11 % nach 6 Monaten und etwa 30 % nach längeren Überwachungszeiträumen festgestellt [50][51][52][53][54][55][56]. In den meisten Studien waren die Patienten älter als in der ursprünglichen CRYSTAL-AF-Studie [57].…”
Section: Ekg-monitoring Nach Schlaganfallunclassified