scholarly journals Wearing Your Heart on Your Sleeve: the Future of Cardiac Rhythm Monitoring

2019 ◽  
Vol 21 (12) ◽  
Author(s):  
Mostafa A. Al-Alusi ◽  
Eric Ding ◽  
David D. McManus ◽  
Steven A. Lubitz
2019 ◽  
Vol 54 ◽  
pp. 28-35 ◽  
Author(s):  
M. Remzi Karaoğuz ◽  
Ece Yurtseven ◽  
Gamze Aslan ◽  
Bilgen Gülşen Deliormanlı ◽  
Ömer Adıgüzel ◽  
...  

2016 ◽  
Vol 5 (2) ◽  
pp. e62 ◽  
Author(s):  
Emilio Vanoli ◽  
Andrea Mortara ◽  
Paolo Diotallevi ◽  
Giuseppe Gallone ◽  
Barbara Mariconti ◽  
...  

2018 ◽  
Vol 41 (5) ◽  
pp. 594-600 ◽  
Author(s):  
Emmanuel N. Simantirakis ◽  
Panteleimon E. Papakonstantinou ◽  
Emmanuel Kanoupakis ◽  
Gregory I. Chlouverakis ◽  
Stylianos Tzeis ◽  
...  

1994 ◽  
Vol 75 (9) ◽  
pp. 1055
Author(s):  
Jean E. Shelton ◽  
Bertrand A. Ross ◽  
Janis E. Goodmundson ◽  
Hooman Sedighi

Stroke ◽  
2014 ◽  
Vol 45 (suppl_1) ◽  
Author(s):  
Esseddeeg M Ghrooda ◽  
Peter Dobrowolski ◽  
Ghazala Basir ◽  
Ibrahim Yaseen ◽  
Nazim khan ◽  
...  

Introduction: Atrial fibrillation (AF) related cardioembolic stroke accounts for over 20% of ischemic stroke. Recent reports using prolonged cardiac rhythm monitoring (PCRM) in cryptogenic stroke reveal paroxysmal AF (PAF) in an additional 20% of patients. We report our findings with PCRM in patients with and without cryptogenic stroke patients in whom an initial 24-h Holter was negative. Methods: Patients admitted to the stroke service with no previous history of AF and no AF on Holter monitoring were enrolled for 3 weeks of PCRM. We used a PAF predictive score to determine the risk of the arrhythmia. All studies were interpreted by the stroke team prior to final review by the cardiologist. Results: Between Sept 2012 and June 2013, 96 patients were evaluated. Over all PAF was diagnoses in 37.5 % of patients. PAF was diagnosed in 32% of patients with cryptogenic stroke and 36 % of patients where an additional etiology may account for the stroke diagnosis. The AF prediction score was not useful in the recognition of patients that were more likely to be at risk for AF. 96 of 98 recordings were correctly identified by the stroke team prior to final diagnosis by the cardiologist. Interpretation: PAF is more common in stroke patients than was previously suspected. It occurs with similar frequency in patients with and without cryptogenic stroke. Our data strongly supports the need for prolonged cardiac rhythm monitoring in all stroke patients to diagnose this important preventable cause of ischemic stroke.


2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Muhib Khan ◽  
Daniel J. Miller

One-third of stroke and transient ischemic attack (TIA) are cryptogenic, and paroxysmal atrial fibrillation (PAF) has been suggested as a possible cause for these cryptogenic strokes. Multiple studies have recently evaluated long-term cardiac rhythm monitoring with good yield for PAF. The duration of monitoring varies between studies as well as the qualifying event definition. Moreover, the clinical significance of very brief atrial fibrillation events is unclear in the literature. This paper provides an overview of current advances in the detection of paroxysmal atrial fibrillation, the clinical and genetic factors predictive of arrhythmia detection, and the therapeutic dilemma concerning this approach.


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