Effect of Implantable vs Prolonged External Electrocardiographic Monitoring on Atrial Fibrillation Detection in Patients With Ischemic Stroke

Question  What is the rate of detection of atrial fibrillation with use of an implantable electrocardiographic monitor for 12 months vs use of prolonged external electrocardiographic monitoring for 30 days after an ischemic stroke?
Conclusions and Relevance  Among patients with ischemic stroke and no prior evidence of AF, implantable electrocardiographic monitoring for 12 months, compared with prolonged external monitoring for 30 days, resulted in a significantly greater proportion of patients with AF detected over 12 months. Further research is needed to compare clinical outcomes associated with these monitoring strategies and relative cost-effectiveness.
Author(s) Source
Buck BH, Hill MD, Quinn FR et al. JAMA. 2021;325(21):2160-2168. doi:10.1001/jama.2021.6128
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