echemi logo
Product
  • Product
  • Supplier
  • Inquiry
    Home > Active Ingredient News > Study of Nervous System > JAMA: The effect of long-term implantable electrocardiogram monitoring on the detection rate of atrial fibrillation in patients with recent ischemic stroke

    JAMA: The effect of long-term implantable electrocardiogram monitoring on the detection rate of atrial fibrillation in patients with recent ischemic stroke

    • Last Update: 2021-06-16
    • Source: Internet
    • Author: User
    Search more information of high quality chemicals, good prices and reliable suppliers, visit www.echemi.com

    About two-thirds of patients with ischemic stroke suffer from valve abnormality atrial fibrillation (AF) or atrial flutter, which is an important cardiac risk factor associated with stroke
    .


    Clinically, for patients with recent ischemic stroke but no evidence of AF ECG, the guidelines recommend 2-4 weeks of ECG monitoring to eliminate the risk of AF


    Diagnosing arrhythmia Recently, researchers have investigated the effect of long-term ECG monitoring devices on the detection rate of AF after ischemic stroke


    This study was carried out in Canada to investigate whether the 12-month implantable circulatory recording monitoring detected more atrial fibrillation in recent ischemic stroke patients compared with the traditional external circulation recording monitoring for 30 days.
    300 patients Patients with ischemic stroke and no history of atrial fibrillation within the last 6 months participated in the study, and were randomized to receive an implantable loop recorder for long-term ECG monitoring (n=150 for 12 months) or an external loop recorder (n= 150 for 30 days)
    .


    The main result of the study is the occurrence of definite or very likely AF, and the secondary results include new AF within 12 months, recurrent ischemic stroke, cerebral hemorrhage, death, and equipment-related serious adverse events


    The average age of the patients was 64.
    1 years, and there were 121 females.
    273 (91.
    0%) completed 24 hours or longer cardiac monitoring, and 259 (86.
    3%) completed designated monitoring and 12-month follow-up
    .


    15.


    15.


    12-month AF detection rate difference between groups

    The study believes that for patients with a recent ischemic stroke but no evidence of atrial fibrillation in the past, the 12-month implantable ECG monitoring has significantly improved the detection rate of atrial fibrillation compared with the conventional 30-day external circulation monitoring, and further research is needed in the future Let’s examine the clinical results and cost-effectiveness of long-term implantable ECG monitoring
    .

    For patients with a recent ischemic stroke but no evidence of atrial fibrillation in the past, 12 months of implantable ECG monitoring has a significant increase in the detection rate of atrial fibrillation compared with the conventional 30-day external circulation monitoring.
    Further research is needed to investigate the long-term Clinical results and cost-effectiveness of implantable ECG monitoring
    .


    For patients with a recent ischemic stroke but no evidence of atrial fibrillation in the past, 12 months of implantable ECG monitoring has a significant increase in the detection rate of atrial fibrillation compared with the conventional 30-day external circulation monitoring.


    Original source:

    Brian H.


    Effect of Implantable vs Prolonged External Electrocardiographic Monitoring on Atrial Fibrillation Detection in Patients With Ischemic Stroke The PER DIEM Randomized Clinical Trial.
    JAMA Leave a message here
    This article is an English version of an article which is originally in the Chinese language on echemi.com and is provided for information purposes only. This website makes no representation or warranty of any kind, either expressed or implied, as to the accuracy, completeness ownership or reliability of the article or any translations thereof. If you have any concerns or complaints relating to the article, please send an email, providing a detailed description of the concern or complaint, to service@echemi.com. A staff member will contact you within 5 working days. Once verified, infringing content will be removed immediately.

    Contact Us

    The source of this page with content of products and services is from Internet, which doesn't represent ECHEMI's opinion. If you have any queries, please write to service@echemi.com. It will be replied within 5 days.

    Moreover, if you find any instances of plagiarism from the page, please send email to service@echemi.com with relevant evidence.