Duration of Implantable Cardiac Monitoring and Detection of Atrial Fibrillation in Ischemic Stroke Patients: A Systematic Review and Meta-Analysis.

ABSTRACT:

Background and purpose

Current guidelines do not provide firm directions on atrial fibrillation (AF) screening after ischemic stroke (IS). We sought to investigate the association of implantable cardiac monitoring (ICM) duration with the yield of AF detection in IS patients.

Methods

We included studies reporting AF detection rates by ICM in IS patients with negative initial AF screening. We excluded studies reporting prolonged cardiac monitoring with devices other than ICM, not providing AF detection rates or monitoring duration, and reporting overlapping data for the same population. The random-effects model was used for all pooled estimates and meta-regression analyses.

Results

We included 28 studies (4,531 patients, mean age 65 years). In meta-regression analyses,

SUBMITTER: Tsivgoulis G 

PROVIDER: S-EPMC6780018 | biostudies-literature | 2019 Sep

REPOSITORIES: biostudies-literature