Implantable Loop Recorders for Cryptogenic Stroke (Plus Real-World Atrial Fibrillation Detection Rate with Implantable Loop Recorders)

Dan L Musat; Nicolle Milstein; Suneet Mittal

doi:10.1016/j.ccep.2017.11.011

Implantable Loop Recorders for Cryptogenic Stroke (Plus Real-World Atrial Fibrillation Detection Rate with Implantable Loop Recorders)

Card Electrophysiol Clin. 2018 Mar;10(1):111-118. doi: 10.1016/j.ccep.2017.11.011.

Authors

Dan L Musat¹, Nicolle Milstein¹, Suneet Mittal²

Affiliations

¹ Valley Health System and Snyder Center for Comprehensive Atrial Fibrillation, 223 N. Van Dien Avenue, Ridgewood, NJ 07450, USA.
² Valley Health System and Snyder Center for Comprehensive Atrial Fibrillation, 223 N. Van Dien Avenue, Ridgewood, NJ 07450, USA. Electronic address: [email protected].

PMID: 29428132
DOI: 10.1016/j.ccep.2017.11.011

Abstract

Cryptogenic stroke (CS) represents 10%-40% of ischemic strokes and is associated with significant morbidity and mortality and high risk of recurrence. Undetected atrial fibrillation is an important consideration in these patients. Tools for electrocardiographic monitoring range from 12-lead electrocardiogram to implantable loop recorders (ILRs). ILRs have become an important tool for long-term electrocardiogram monitoring in CS patients. Advancements in ILR technology are needed to ensure more robust connectivity and to help triage incoming data. An unresolved issue is what duration of AF indicates that the CS patient is at high risk for recurrent stroke and thus would benefit from initiation of anticoagulation.

Keywords: Atrial fibrillation; Cryptogenic stroke; Implantable loop recorder.

Publication types

Meta-Analysis
Systematic Review

MeSH terms

Atrial Fibrillation / physiopathology
Atrial Fibrillation / therapy*
Defibrillators, Implantable*
Electrocardiography, Ambulatory*
Global Health
Humans
Morbidity / trends
Risk Factors
Stroke* / diagnosis
Stroke* / epidemiology
Stroke* / etiology