Detection of Atrial Fibrillation in Cryptogenic Stroke

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Detection of Atrial Fibrillation in Cryptogenic Stroke. / Haeusler, Karl Georg; Tütüncü, Serdar; Schnabel, Renate B.

In: CURR NEUROL NEUROSCI, Vol. 18, No. 10, 08.08.2018, p. 66.

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@article{eeb4f89e75db4f7c9c68d1cc572a453f,
title = "Detection of Atrial Fibrillation in Cryptogenic Stroke",
abstract = "PURPOSE OF REVIEW: To summarize the literature on the detection of atrial fibrillation (AF) in patients with {"}cryptogenic{"} stroke, a cohort including about 25% of all ischemic stroke patients and patients with embolic stroke of undetermined source (ESUS).RECENT FINDINGS: A first episode of AF is detected in up to one third of cryptogenic stroke and in up to one fourth of ESUS patients during long-term monitoring. AF prevalence correlates to patient selection, duration, and quality of ECG monitoring. Higher rates of AF were reported in stroke patients with left atrial pathology, specific ECG alterations, or increased natriuretic peptides. While AF detection impacts on medical stroke prevention in the vast majority of patients, patient selection for prolonged monitoring is largely left at the physician's discretion. AF detection after cryptogenic stroke or ESUS is a frequent, potentially causal condition. Whether subsequent oral anticoagulation may improve outcome remains open.",
keywords = "Atrial Fibrillation/complications, Embolism, Humans, Risk Factors, Stroke/epidemiology",
author = "Haeusler, {Karl Georg} and Serdar T{\"u}t{\"u}nc{\"u} and Schnabel, {Renate B}",
year = "2018",
month = aug,
day = "8",
doi = "10.1007/s11910-018-0871-1",
language = "English",
volume = "18",
pages = "66",
journal = "CURR NEUROL NEUROSCI",
issn = "1528-4042",
publisher = "Current Medicine Group",
number = "10",

}

RIS

TY - JOUR

T1 - Detection of Atrial Fibrillation in Cryptogenic Stroke

AU - Haeusler, Karl Georg

AU - Tütüncü, Serdar

AU - Schnabel, Renate B

PY - 2018/8/8

Y1 - 2018/8/8

N2 - PURPOSE OF REVIEW: To summarize the literature on the detection of atrial fibrillation (AF) in patients with "cryptogenic" stroke, a cohort including about 25% of all ischemic stroke patients and patients with embolic stroke of undetermined source (ESUS).RECENT FINDINGS: A first episode of AF is detected in up to one third of cryptogenic stroke and in up to one fourth of ESUS patients during long-term monitoring. AF prevalence correlates to patient selection, duration, and quality of ECG monitoring. Higher rates of AF were reported in stroke patients with left atrial pathology, specific ECG alterations, or increased natriuretic peptides. While AF detection impacts on medical stroke prevention in the vast majority of patients, patient selection for prolonged monitoring is largely left at the physician's discretion. AF detection after cryptogenic stroke or ESUS is a frequent, potentially causal condition. Whether subsequent oral anticoagulation may improve outcome remains open.

AB - PURPOSE OF REVIEW: To summarize the literature on the detection of atrial fibrillation (AF) in patients with "cryptogenic" stroke, a cohort including about 25% of all ischemic stroke patients and patients with embolic stroke of undetermined source (ESUS).RECENT FINDINGS: A first episode of AF is detected in up to one third of cryptogenic stroke and in up to one fourth of ESUS patients during long-term monitoring. AF prevalence correlates to patient selection, duration, and quality of ECG monitoring. Higher rates of AF were reported in stroke patients with left atrial pathology, specific ECG alterations, or increased natriuretic peptides. While AF detection impacts on medical stroke prevention in the vast majority of patients, patient selection for prolonged monitoring is largely left at the physician's discretion. AF detection after cryptogenic stroke or ESUS is a frequent, potentially causal condition. Whether subsequent oral anticoagulation may improve outcome remains open.

KW - Atrial Fibrillation/complications

KW - Embolism

KW - Humans

KW - Risk Factors

KW - Stroke/epidemiology

U2 - 10.1007/s11910-018-0871-1

DO - 10.1007/s11910-018-0871-1

M3 - SCORING: Review article

C2 - 30090997

VL - 18

SP - 66

JO - CURR NEUROL NEUROSCI

JF - CURR NEUROL NEUROSCI

SN - 1528-4042

IS - 10

ER -