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Atrial fibrillation: focus on monitoring strategies after cryptogenic stroke

Marco G Del Buono1, Tommaso Sanna2,3

  • 1Sacred Heart Catholic University, Rome, Italy.

Minerva Cardiology and Angiology
|January 26, 2022
PubMed

Insights

Detecting undiagnosed atrial fibrillation (AF) after stroke is crucial for preventing recurrent events. Long-term cardiac monitoring aids in identifying AF, but empirical anticoagulation alone does not improve outcomes.

Area of Science:

  • Cardiology
  • Neurology
  • Stroke Medicine

Background:

  • Atrial fibrillation (AF) is a major cause of ischemic stroke, often presenting as the first clinical sign.
  • Effective oral anticoagulants exist for AF-related stroke prevention, necessitating thorough investigation for undiagnosed AF post-stroke.

Purpose of the Study:

  • To review current evidence on detecting AF in stroke patients.
  • To identify knowledge gaps in AF detection and secondary prevention strategies after stroke.

Main Methods:

  • Review of prospective data on long-term cardiac monitoring for AF detection in cryptogenic stroke.
  • Analysis of outcomes associated with empirical anticoagulation strategies.

Main Results:

  • Long-term cardiac monitoring is beneficial for identifying AF in cryptogenic stroke cases.
  • Empirical anticoagulation post-cryptogenic stroke has not shown improved patient outcomes.

Conclusions:

  • Comprehensive diagnostic workup, including prolonged cardiac monitoring, is essential for identifying AF after stroke.
  • Further research is needed to optimize secondary prevention strategies for AF-related stroke.

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