Internal and Emergency Medicine

, Volume 9, Issue 1, pp 65–67

96 hours ECG monitoring for patients with ischemic cryptogenic stroke or transient ischaemic attack

Authors

    • Division of Internal and Cardiovascular Medicine, Stroke UnitUniversity of Perugia
    • Division of Cardiovascular Medicine, Stroke Unit, Santa Maria della Misericordia HospitalUniversity of Perugia
  • Giancarlo Agnelli
    • Division of Internal and Cardiovascular Medicine, Stroke UnitUniversity of Perugia
  • Cecilia Becattini
    • Division of Internal and Cardiovascular Medicine, Stroke UnitUniversity of Perugia
  • Gianluca Zingarini
    • Division of CardiologySanta Maria della Misericordia Hospital
  • Maurizio Paciaroni
    • Division of Internal and Cardiovascular Medicine, Stroke UnitUniversity of Perugia
IM - ORIGINAL

DOI: 10.1007/s11739-012-0755-3

Cite this article as:
Manina, G., Agnelli, G., Becattini, C. et al. Intern Emerg Med (2014) 9: 65. doi:10.1007/s11739-012-0755-3

Abstract

Atrial fibrillation (AF) is intermittent in 30% of patients with cardioembolic stroke and, therefore, might not be seen in a single standard ECG recording. The aim of this study was to evaluate if prolonged ECG monitoring (96 h) finds episodes of intermittent AF beyond the 24 h ECG monitoring in patients with cryptogenic stroke or transient ischemic attack (TIA). We prospectively evaluated consecutive patients affected by cryptogenic stroke or TIA who had sinus rhythm on a 12-lead ECG on admission, and during ECG monitoring performed in the acute phase (for at least 24 h). Patients had continuous 96 h Holter ECG monitoring within 30 days from stroke onset. 114 patients were included in the study (mean age 63.1 ± 15.1, 59 males). AF was found in 29 patients (24.3%). In 20 patients, AF was found in the first 24 h of recording, and in nine patients after 24 h. In addition, several other dysrhythmias such as supraventricular ectopic activity (33), ventricular tachycardia (10), sinus pause (4) and sinus-atrial block (1) were found. In patients with cryptogenic stroke or TIA, 96 h ECG monitoring detected a high rate of AF. One-third of AF was seen beyond 24 h of ECG monitoring.

Keywords

Cryptogenic strokeECG monitoringAtrial fibrillation

Copyright information

© SIMI 2012