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ESOC 2023 | Opinions on extended cardiac monitoring after stroke

Thomas Meinel, MD, Bern University Hospital, and University of Bern, Bern, Switzerland, discusses recent advancements in thinking about extended cardiac monitoring after stroke. Dr Meinel emphasizes that the rate of atrial fibrillation (AF) detection in cardiovascular risk patients are comparable whether the stroke is cryptogenic or attributable to large- or small-vessel disease. It is therefore important to undertake AF detection after ischemic stroke in patients with large- or small-vessel disease, not only cases of unknown etiology. External ambulatory monitoring of up to 30-days is appropriate in these cases, with more invasive methods reserved for cases where clinicians believe AF will be seen eventually based on the presence of predictive biomarkers. This interview took place during the European Stroke Organisation Conference (ESOC) in Munich, Germany.

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Thomas Meinel reports the following disclosures: Funding from Swiss National Science Foundation, Swiss Heart Foundation, SAMW/Bangerter Rhyner Foundation, and University Bern.