J Stroke.  2016 May;18(2):121-128. 10.5853/jos.2016.00150.

How and When to Screen for Atrial Fibrillation after Stroke: Insights from Insertable Cardiac Monitoring Devices

Affiliations
  • 1Department of Neurology, Austin Health, Heidelberg, Victoria, Australia. vincent.thijs@florey.edu.au
  • 2Florey Institute of Neuroscience and Mental Health, Heidelberg, Victoria, Australia.

Abstract

The introduction of insertable cardiac monitoring devices has dramatically altered our understanding of the role of intermittent atrial fibrillation in cryptogenic stroke. In this narrative review we discuss the incidence, timing and relationship between atrial fibrillation and cryptogenic stroke, how to select patients for monitoring and the value and limitations of different monitoring strategies. We also discuss the role of empirical anticoagulation, and atrial fibrillation burden as a means of tailoring anticoagulation in patients at high risk of bleeding.

Keyword

Stroke; Atrial fibrillation; Cryptogenic; Ischemia

MeSH Terms

Atrial Fibrillation*
Hemorrhage
Humans
Incidence
Ischemia
Stroke*
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