Software-based analysis of 1-hour Holter ECG to select for prolonged ECG monitoring after stroke.

ABSTRACT:

Objective

Identification of ischemic stroke patients at high risk for paroxysmal atrial fibrillation (pAF) during 72 hours Holter ECG might be useful to individualize the allocation of prolonged ECG monitoring times, currently not routinely applied in clinical practice.

Methods

In a prospective multicenter study, the first analysable hour of raw ECG data from prolonged 72 hours Holter ECG monitoring in 1031 patients with acute ischemic stroke/TIA presenting in sinus rhythm was classified by an automated software (AA) into "no risk of AF" or "risk of AF" and compared to clinical variables to predict AF during 72 hours Holter-ECG.

Results

pAF was diagnosed in 54 patients (5.2%; mean age: 78 years; female 56%) and was more frequently detected after 72 hours in patients c

SUBMITTER: Groschel S 

PROVIDER: S-EPMC7545589 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature