Monitoring for atrial fibrillation prior to patent foramen ovale closure after cryptogenic stroke.

ABSTRACT:

Background

Patients who had a cryptogenic stroke (CS) suspected to be causally related to a patent foramen ovale (PFO) are candidates for percutaneous PFO closure. In such patients, it is important to screen for atrial fibrillation (AF). Limited guidance is available regarding AF monitoring strategies in CS patients with PFO addressing optimal monitoring technology and duration.

Aim

To provide a narrative review of cardiac rhythm monitoring in CS patients considered for PFO closure, including current practices, stroke recurrences after CS, findings from monitoring studies in CS patients, and predictors for AF detection published in the literature. To propose a personalized strategy for cardiac monitoring in CS patients, accounting for aspects predicting AF detection.

Summ

SUBMITTER: Diener HC 

PROVIDER: S-EPMC10037544 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature