ISC 2024 | Prolonged cardiac monitoring for the detection of atrial fibrillation after stroke

The optimal approach is cardiac monitoring for the detection of atrial fibrillation (AF) after cryptogenic stroke is the subject of much debate. With prolonged cardiac monitoring, AF can be detected in around 25% of patients with ischemic stroke/transient ischemic attack without previously recognized AF. However, numerous studies have suggested that prolonged monitoring is not associated with a reduced risk of ischemic stroke. Some reports have suggested that AF detected after stroke or transient ischemic attack (AFDAS) may be its own distinct clinical entity, with a lower embolic risk than known AF. Valeria Caso, MD, PhD, FESO, Santa Maria della Misericordia Hospital, University of Perugia, Perugia, Italy, shares her thoughts on the value of prolonged cardiac monitoring. Ongoing research aims to clarify the relationship between AFDAS and stroke recurrence to enable a tailored approach to prolonged cardiac monitoring after stroke. This interview took place during the International Stroke Conference 2024 in Phoenix, AZ.

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