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

  • Giorgia Manina
  • Giancarlo Agnelli
  • Cecilia Becattini
  • Gianluca Zingarini
  • Maurizio Paciaroni
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

Authors and Affiliations

  • Giorgia Manina
    • 1
    • 3
  • Giancarlo Agnelli
    • 1
  • Cecilia Becattini
    • 1
  • Gianluca Zingarini
    • 2
  • Maurizio Paciaroni
    • 1
  1. 1.Division of Internal and Cardiovascular Medicine, Stroke UnitUniversity of PerugiaPerugiaItaly
  2. 2.Division of CardiologySanta Maria della Misericordia HospitalPerugiaItaly
  3. 3.Division of Cardiovascular Medicine, Stroke Unit, Santa Maria della Misericordia HospitalUniversity of PerugiaPerugiaItaly