SECONDARY STROKE PREVENTION AF DETECTION AND TREATMENT MATTERS

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New stroke outcomes data

Prolonged cardiac monitoring (PCM) has higher rates of AF detection and anticoagulant initiation compared to standard of care.*

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The meta-analysis included 2 RCTs and 2 observational studies, including a total of 1,102 patients (mean age: 68 years, 41% women). Patients who underwent PCM compared to conventional cardiac monitoring show:

  • 2.5x increased incidence of AF detection (n = 1,102, RR = 2.46, 95% CI: 1.61-3.76, and P < 0.0001)
  • 2.1x increased incidence of anticoagulant initiation (n = 956, RR = 2.07, 95% CI: 1.36-3.17, and  P = 0.0008)
  • 55% decreased risk of recurrent stroke (n = 1,102, RR = 0.45, 95% CI: 0.21-0.97, and P = 0.04)            
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*Tsivgoulis G, Katsanos AH, Grory BM, et al. Prolonged Cardiac Rhythm Monitoring and Secondary Stroke Prevention in Patients With Cryptogenic Cerebral Ischemia. Stroke. Published online June 20, 2019.