Systematic ECG monitoring increased the in-hospital rate of atrial fibrillation (AF) detection among stroke survivors, in a new study.
However, systematic ECG monitoring did not result in a higher rate of anticoagulation at 12 months, results showed, and did not affect cardiovascular outcomes at 12 months.
“As our pragmatic approach in unselected stroke or transient ischemic attack [TIA] patients did not significantly increase anticoagulation rates at 12 months, we propose that additional ECG monitoring should focus on stroke patients at increased risk of atrial fibrillation,” Matthias Endres, MD, director of the Department of Neurology with Experimental Neurology at Charité Medical University in Berlin, Germany, told Medscape Medical News.
“Detection of atrial fibrillation and subsequent initiation of anticoagulation remain important goals in the care of stroke patients,” he said.
Endres presented his study at the European Stroke Organization-World Stroke Organization (ESO-WSO) Conference 2020.