Extended ECG monitoring with an implantable loop recorder in patients with cryptogenic stroke: time schedule, reasons for explantation and incidental findings (results from the TRACK-AF trial)

Bettin, Markus; Dechering, Dirk G.; Kochhäuser, Simon; Bode, Niklas; Eckardt, Lars; Frommeyer, Gerrit; Reinke, Florian

doi:10.1007/s00392-018-1358-4

Cited by 16 publications

(10 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A pooled analysis of published single arm studies demonstrated that the rate of detected AF increases with the duration of monitoring, from about 8.9% at 1 month to 17.9% at 6 months, 22.3% at 12 months and 25.2% at 36 months (Figures 3–6). 24–73…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

European Stroke Organisation (ESO) guideline on screening for subclinical atrial fibrillation after stroke or transient ischaemic attack of undetermined origin

Rubiera

Aires

Antonenko

et al. 2022

European Stroke Journal

View full text Add to dashboard Cite

We aimed to provide practical recommendations for the screening of subclinical atrial fibrillation (AF) in patients with ischaemic stroke or transient ischaemic attack (TIA) of undetermined origin. These guidelines are based on the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) methodology. Five relevant Population, Intervention, Comparator, Outcome questions were defined by a multidisciplinary module working group (MWG). Longer duration of cardiac rhythm monitoring increases the detection of subclinical AF, but the optimal monitoring length is yet to be defined. We advise longer monitoring to increase the rate of anticoagulation, but whether longer monitoring improves clinical outcomes needs to be addressed. AF detection does not differ from in- or out-patient ECG-monitoring with similar monitoring duration, so we consider it reasonable to initiate in-hospital monitoring as soon as possible and continue with outpatient monitoring for more than 48h. Although insertable loop recorders (ILR) increase AF detection based on their longer monitoring duration, comparison with non-implantable ECG devices for similar monitoring time is lacking. We suggest the use of implantable devices, if feasible, for AF detection instead of non- implantable devices to increase the detection of subclinical AF. There is weak evidence of a useful role for blood, ECG, and brain imaging biomarkers for the identification of patients at high risk of AF. In patients with patent foramen ovale, we found insufficient evidence from RCT, but prolonged cardiac monitoring in patients >55 years is advisable for subclinical AF detection. To conclude, in adult patients with ischaemic stroke or TIA of undetermined origin, we recommend longer duration of cardiac rhythm monitoring of more than 48h and if feasible with IRL to increase the detection of subclinical AF.

show abstract

Section: Resultsmentioning

confidence: 99%

“…For ESUS patients, the pooled rate was 13.5% (95% CI 6.5–22.6), and globally, the AF detection with non-implantable devices was 12.3% (95% CI 9.4–15.4). 32,33,36,39,43–46,48–54,56–67,69,70,100…”

Section: Resultsmentioning

confidence: 99%

European Stroke Organisation (ESO) guideline on screening for subclinical atrial fibrillation after stroke or transient ischaemic attack of undetermined origin

Rubiera

Aires

Antonenko

et al. 2022

European Stroke Journal

View full text Add to dashboard Cite

show abstract

“…However, we are convinced that the observational data currently available is promising and may even allow prediction of atrial fibrillation before it is detected. While the current analysis merely focuses on incidental findings during long-term follow-up of patients with implantable loop recorders [2], a previous study displayed a strong correlation between detection of supraventricular premature beats and short atrial runs and the later registration of atrial fibrillation in the same patient cohort [3]. The results of such analyses imply that current risk stratification in patients with cryptogenic stroke is not yet sufficient and the information offered by implantable loop recorders may significantly improve this.…”

Section: Sirsmentioning

confidence: 89%

Reply to letter to the editor by Gulmira Kudaibedieva and Bulent Gorenek

2019

Self Cite

View full text Add to dashboard Cite

“…We read with interest the recent paper published in Clinical Research in Cardiology on ECG monitoring with implantable loop recorder (ILR) in patients with cryptogenic stroke-retrospective analysis of TRACK AF study [1]. Authors demonstrated detection of atrial fibrillation (AF) in 19.1% of patients with cryptogenic stroke after median time of 10.7 ± 11.4 months.…”

Section: Sirsmentioning

confidence: 99%

An unsolved issue: utility of implantable loop recorder monitoring in cryptogenic stroke patients

Kudaiberdieva¹,

Görenek

2019

Clin Res Cardiol

View full text Add to dashboard Cite

Extended ECG monitoring with an implantable loop recorder in patients with cryptogenic stroke: time schedule, reasons for explantation and incidental findings (results from the TRACK-AF trial)

Abstract: Registered at ClinicalTrials.gov: NCT02641678.

Cited by 16 publications

References 22 publications

European Stroke Organisation (ESO) guideline on screening for subclinical atrial fibrillation after stroke or transient ischaemic attack of undetermined origin

European Stroke Organisation (ESO) guideline on screening for subclinical atrial fibrillation after stroke or transient ischaemic attack of undetermined origin

Reply to letter to the editor by Gulmira Kudaibedieva and Bulent Gorenek

An unsolved issue: utility of implantable loop recorder monitoring in cryptogenic stroke patients

Contact Info

Product

Resources

About