A pragmatic approach to detection of atrial fibrillation and choice of a secondary prevention program in a patient with cryptogenic embolic stroke: Presentation of a clinical case taking into account the current state of the problem

Author:

Mekhryakov S. A.1ORCID,Syromyatnikova L. I.2ORCID,Kulesh A. A.2ORCID

Affiliation:

1. City Clinical Hospital No. 4

2. City Clinical Hospital No. 4; Perm State Medical University named after academician E. A. Wagner

Abstract

The article presents a clinical example of using the diagnostic algorithm for identifying the criteria for atrial cardiopathy in a patient with cryptogenic stroke. This clinical case required prolonged ECG monitoring, detection of subclinical atrial fibrillation, and subsequent collegial establishment of indications for initiation of anticoagulant therapy taking into account the high risk of recurrent stroke.

Publisher

Cardiology Research Institute

Subject

Cardiology and Cardiovascular Medicine,Public Health, Environmental and Occupational Health,Radiology, Nuclear Medicine and imaging,Medicine (miscellaneous),Internal Medicine

Reference16 articles.

1. Hindricks G., Potpara T., Dagres N., Arbelo E., Bax J.J., Blomström-Lundqvist C. et al. 2020 ESC Guidelines for the diagnosis and management of atrial fi brillation developed in collaboration with the European Association of Cardio-Thoracic Surgery (EACTS): The Task Force for the diagnosis and management of atrial fi brillation of the European Society of Cardiology (ESC) Developed with the special contribution of the European Heart Rhythm Association (EHRA) of the ESC. Eur. Heart J. 2021;42(5):373–498. DOI: 10.1093/euheart/ehaa612.

2. Grond M., Jauss M., Hamann G., Stark E., Veltkamp R., Nabavi D.G. et al. Improved detection of silent atrial fi brillation using 72-hour Holter ECG in patients with ischemic stroke a prospective multicenter cohort study. Stroke. 2013;44(12):3357–3364. DOI: 10.1161/STROKEAHA.113.001884.

3. Haeusler K.G., Kirchhof P., Heuschmann P.U., Laufs U., Busse O., Kunze C. et al. Impact of standardized MONitoring for Detection of Atrial Fibrillation in Ischemic Stroke (MonDAFIS): Rationale and design of a prospective randomized multicenter study. Am. Heart J. 2016;172:19–25. DOI: 10.1016/j.ahj.2015.10.010.

4. Tsivgoulis G., Katsanos A.H., Köhrmann M., Caso V., Perren F., Palaiodimou L. et al. Duration of implantable cardiac monitoring and detection of atrial fi brillation in ischemic stroke patients: A systematic review and meta-analysis. J. Stroke. 2019;21(3):302–311. DOI: 10.5853/jos.2019.01067.

5. Sanna T., Diener H.C., Passman R.S., Di Lazzaro V., Bernstein R.A., Morillo C.A. et al. Cryptogenic stroke and underlying atrial fi brillation. N. Engl. J. Med. 2014;370(26):2478–2486. DOI: 10.1056/NEJMoa1313600.

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3