Continuous Electrocardiography for Detecting Atrial Fibrillation Beyond 1
Arrhythmias and sudden death Original research Heart: first published as 10.1136/heartjnl-2020-316904 on 3 July 2020. Downloaded from Continuous electrocardiography for detecting atrial fibrillation beyond 1 year after stroke in primary care Louise Feldborg Lyckhage ,1 Morten Lock Hansen,2,3 Jens Christian Toft,4 Susanne Lis Larsen,5 Bente Brendorp,6 Ari Mohammad Ali,1 Troels Wienecke1,7 ► Additional material is ABSTRACT The long- term efforts to prevent recurrent stroke published online only. To view Background and purpose The diagnostic benefit are typically handled at patients’ general practice please visit the journal online (http:// dx. doi. org/ 10. 1136/ of using continuous ECG (cECG) for poststroke atrial (GP) clinic. Guidelines for the elderly population heartjnl- 2020- 316904). fibrillation (AF) screening in a primary care setting is include opportunistic pulse palpation followed by unclear. We aimed to assess the diagnostic yield from 12- lead ECG in case of irregular pulse.8 Never- 1 Department of Neurology, screening patients who previously had a stroke with a theless, there are currently no guidelines specific Zealand University Hospital, 7-day Holter monitor. to primary care poststroke AF screening. Brach- Roskilde, Denmark 6 2Department of Cardiology, Methods Patients older than 49 years, naive to AF, mann et al showed that monitoring patients with Copenhagen University Hospital with an ischaemic stroke over 1 year before enrolment cryptogenic stroke with implantable loop recorder Herlev and Gentofte, Hellerup, were included. In a primary care setting, all patients detected AF in 30% after 3 years compared with Denmark 3 were screened for AF using pulse palpation, 12-lead ECG The Cardiovascular Research 12.4% after 1 year.
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