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Atrial fibrillation detection and treatment matters
After initial stroke discharge, many cryptogenic stroke patients are at risk of secondary stroke but don’t receive additional cardiac monitoring. Establishing a monitoring pathway to detect and treat AF can significantly reduce a patient's risk.
WATCH THE WEBINAR and learn about the latest clinical evidence and best practices for implementing a stroke pathway.
Since publication of the NICE DG41 Guidance, a group of clinicians has worked to create a guide to help overcome the challenges faced when implementing an ICM service. Read about their real-life experience and learnings:
In stroke patients, additional ECG monitoring by long-term non- invasive ECG monitors or implanted loop recorders should be considered to document silent atrial fibrillation.
The CRYSTAL-AF Study found that short- and intermediate-term cardiac monitoring may miss many patients with paroxysmal AF.
* See full brief statement for complete indications, contra indications, warnings and precautions.
NEW WEBINAR: PRIORITIZING HIGH-RISK STROKE PATIENTS FOR CARDIAC MONITORING
Landman SR and Sarkar S. Characterization of cardiac diagnostic care pathways by indication and physician specialty in a real-world dataset of 314,554 patients. Presented at ESC 2019.
Wolf PA, Abbott RD, Kannel WB. Atrial fibrillation as an independent risk factor for stroke: the Framingham Study. Stroke. 1991;22:983-988.
Diener HC, Connolly SJ, Ezekowitz MD, et al. Dabigatran compared with warfarin in patients with atrial fibrillation and previous transient ischaemic attack or stroke: a subgroup analysis of the RE-LY trial. Lancet Neurol 2010; 9: 1157–1163.
Saver JL. Cryptogenic Stroke. N Engl J Med. May 26, 2016;374(21):2065-2074.
Tsivgoulis G, Katsanos AH, Grory BM, et al. Prolonged Cardiac Rhythm Monitoring and Secondary Stroke Prevention in Patients With Cryptogenic Cerebral Ischemia. Stroke. 2019;50:2175-2180.
Stroke Prevention in Atrial Fibrillation Study. Final results. Circulation. August 1991;84(2):527-539.
Sanna T, Diener HC, Passman RS, et al. Cryptogenic Stroke and Underlying Atrial Fibrillation (CRYSTAL AF). N Engl J Med. 2014; 370(26):2478-2486.