Atrial fibrillation in high-risk patients with Ischaemic Stroke

by Gabrielle Taylor June 15, 2017

Atrial fibrillation in high-risk patients with Ischaemic Stroke

In a recent article, Rolf Wachter and colleagues reported on emerging evidence to support using Holter ECGs for longer periods than originally thought for secondary prevention after stroke.

"The study revealed that, after non-large-artery stroke, three 10-day Holter-electrocardiograms (ECGs) increased the detection rate of atrial fibrillation by 9% compared with standard care involving only one 24 hour Holter-ECG.

The authors point out that long-term Holter-ECGs are easier to integrate into the routine work-up than specialised external loop recorders or implanted devices because they were widely available, familiar to most physicians, and inexpensive.

Indeed, given limited health budgets, ease and cost-effectiveness are crucial when identifying all patients in whom recurrent stroke due to atrial fibrillation could be prevented by anticoagulation."

Holter RecorderWhile they identify that using 24 hour Holter ECGs repeatedly in severe case or high risk patients might also be another option for identifying Atrial Fibrillation, they suggest that long-term recordings could increase the detection of AF and ultimately have a positive effect on the number of repeat strokes and other heart problems.

SCHILLER Australia is home to a number of Swiss-designed, long-term ECG Holters - visit our website today and make sure your patients have access to the very best options available to them. 

You can view the original article here.



Gabrielle Taylor
Gabrielle Taylor

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