Cover Image

Diagnostic work-up for detection of paroxysmal atrial fibrillation after acute ischemic stroke: cross-sectional survey on German stroke units

Background and Purpose—Multiple methods to detect paroxysmal atrial fibrillation (pAF) in patients with acute stroke are available. However, it is unknown which approaches are currently used in clinical routine and guidelines remain vague to the extent of cardiac monitoring. We characterize diagnost...

Full description

Saved in:
Bibliographic Details
Main Authors: Rizos, Timolaos (Author) , Quilitzsch, Anika (Author) , Busse, Otto (Author) , Haeusler, Karl Georg (Author) , Endres, Matthias (Author) , Heuschmann, Peter (Author) , Veltkamp, Roland (Author)
Format: Article (Journal)
Language:English
Published: [June 2015]
In: Stroke
Year: 2015, Volume: 46, Issue: 6, Pages: 1693-1695
ISSN:1524-4628
DOI:10.1161/STROKEAHA.115.009374
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1161/STROKEAHA.115.009374
Verlag, lizenzpflichtig, Volltext: https://www.ahajournals.org/doi/10.1161/STROKEAHA.115.009374
Get full text
Author Notes:Timolaos Rizos, MD, Anika Quilitzsch, BA, Otto Busse, MD, Karl Georg Haeusler, MD, Matthias Endres, MD, Peter Heuschmann, MD, MPH, and Roland Veltkamp, MD

MARC

LEADER 00000caa a2200000 c 4500
001 1702169367
003 DE-627
005 20220818133030.0
007 cr uuu---uuuuu
008 200625s2015 xx |||||o 00| ||eng c
024 7 |a 10.1161/STROKEAHA.115.009374  |2 doi 
035 |a (DE-627)1702169367 
035 |a (DE-599)KXP1702169367 
035 |a (OCoLC)1341341895 
040 |a DE-627  |b ger  |c DE-627  |e rda 
041 |a eng 
084 |a 33  |2 sdnb 
100 1 |a Rizos, Timolaos  |d 1973-  |e VerfasserIn  |0 (DE-588)129478458  |0 (DE-627)470187891  |0 (DE-576)297680536  |4 aut 
245 1 0 |a Diagnostic work-up for detection of paroxysmal atrial fibrillation after acute ischemic stroke  |b cross-sectional survey on German stroke units  |c Timolaos Rizos, MD, Anika Quilitzsch, BA, Otto Busse, MD, Karl Georg Haeusler, MD, Matthias Endres, MD, Peter Heuschmann, MD, MPH, and Roland Veltkamp, MD 
264 1 |c [June 2015] 
300 |a 3 
336 |a Text  |b txt  |2 rdacontent 
337 |a Computermedien  |b c  |2 rdamedia 
338 |a Online-Ressource  |b cr  |2 rdacarrier 
500 |a Gesehen am 25.06.2020 
520 |a Background and Purpose—Multiple methods to detect paroxysmal atrial fibrillation (pAF) in patients with acute stroke are available. However, it is unknown which approaches are currently used in clinical routine and guidelines remain vague to the extent of cardiac monitoring. We characterize diagnostic efforts for pAF detection on German stroke units (SU).Methods—A standardized anonymous questionnaire was sent to all clinical leads of certified SUs in Germany. The questionnaire focused on basic characteristics of SUs, procedures to detect AF, and estimates on AF detection.Results—One hundred seventy-nine SU leads participated (response rate 71.6%). All patients undergo continuous bedside ECG monitoring. A percentage of 77.6 SUs initiate additional 24-hour Holter ECG in >50% of patients without known AF. Patients with transient ischemic attack are monitored significantly shorter than patients with ischemic stroke. Independent of SU type or size, 67.6% of leads assumed to fail detecting pAF in 5% to 20% of patients. In cryptogenic stroke, additional ECG monitoring is recommended by 90.2% but only 13.8% of SUs perform routine ECG follow-up visits. The use of implanted event recorders is low (1-10 patients/y by 60.7% of SUs; 28.1%: no use). A percentage of 83.9 do not use external event recorders.Conclusions—Our survey demonstrates substantial heterogeneity among German SUs on diagnostic work-up for pAF. Future prospective multicenter studies should systematically evaluate the impact of different methods to uncover pAF. 
700 1 |a Quilitzsch, Anika  |e VerfasserIn  |4 aut 
700 1 |a Busse, Otto  |d 1940-  |e VerfasserIn  |0 (DE-588)1231061618  |0 (DE-627)175341394X  |4 aut 
700 1 |a Haeusler, Karl Georg  |e VerfasserIn  |4 aut 
700 1 |a Endres, Matthias  |e VerfasserIn  |4 aut 
700 1 |a Heuschmann, Peter  |e VerfasserIn  |4 aut 
700 1 |a Veltkamp, Roland  |d 1966-  |e VerfasserIn  |0 (DE-588)172858453  |0 (DE-627)697787567  |0 (DE-576)133713997  |4 aut 
773 0 8 |i Enthalten in  |t Stroke  |d New York, NY : Association, 1970  |g 46(2015), 6, Seite 1693-1695  |h Online-Ressource  |w (DE-627)266879985  |w (DE-600)1467823-8  |w (DE-576)075145731  |x 1524-4628  |7 nnas  |a Diagnostic work-up for detection of paroxysmal atrial fibrillation after acute ischemic stroke cross-sectional survey on German stroke units 
773 1 8 |g volume:46  |g year:2015  |g number:6  |g pages:1693-1695  |g extent:3  |a Diagnostic work-up for detection of paroxysmal atrial fibrillation after acute ischemic stroke cross-sectional survey on German stroke units 
856 4 0 |u https://doi.org/10.1161/STROKEAHA.115.009374  |x Verlag  |x Resolving-System  |z lizenzpflichtig  |3 Volltext 
856 4 0 |u https://www.ahajournals.org/doi/10.1161/STROKEAHA.115.009374  |x Verlag  |z lizenzpflichtig  |3 Volltext 
951 |a AR 
992 |a 20200625 
993 |a Article 
994 |a 2015 
998 |g 172858453  |a Veltkamp, Roland  |m 172858453:Veltkamp, Roland  |d 910000  |d 911100  |e 910000PV172858453  |e 911100PV172858453  |k 0/910000/  |k 1/910000/911100/  |p 7  |y j 
998 |g 129478458  |a Rizos, Timolaos  |m 129478458:Rizos, Timolaos  |d 910000  |d 911100  |e 910000PR129478458  |e 911100PR129478458  |k 0/910000/  |k 1/910000/911100/  |p 1  |x j 
999 |a KXP-PPN1702169367  |e 3691096271 
BIB |a Y 
SER |a journal 
JSO |a {"physDesc":[{"extent":"3 S."}],"relHost":[{"origin":[{"publisher":"Association ; Lippincott Williams & Wilkins","dateIssuedKey":"1970","dateIssuedDisp":"1970-","publisherPlace":"New York, NY ; Philadelphia, Pa."}],"id":{"eki":["266879985"],"zdb":["1467823-8"],"issn":["1524-4628"]},"physDesc":[{"extent":"Online-Ressource"}],"title":[{"subtitle":"journal of the American Heart Association","title":"Stroke","title_sort":"Stroke"}],"disp":"Diagnostic work-up for detection of paroxysmal atrial fibrillation after acute ischemic stroke cross-sectional survey on German stroke unitsStroke","type":{"bibl":"periodical","media":"Online-Ressource"},"note":["Gesehen am 29.06.04"],"recId":"266879985","language":["eng"],"corporate":[{"role":"isb","roleDisplay":"Herausgebendes Organ","display":"American Heart Association"}],"pubHistory":["1.1970 -"],"part":{"year":"2015","issue":"6","pages":"1693-1695","volume":"46","text":"46(2015), 6, Seite 1693-1695","extent":"3"}}],"name":{"displayForm":["Timolaos Rizos, MD, Anika Quilitzsch, BA, Otto Busse, MD, Karl Georg Haeusler, MD, Matthias Endres, MD, Peter Heuschmann, MD, MPH, and Roland Veltkamp, MD"]},"origin":[{"dateIssuedDisp":"[June 2015]","dateIssuedKey":"2015"}],"id":{"eki":["1702169367"],"doi":["10.1161/STROKEAHA.115.009374"]},"note":["Gesehen am 25.06.2020"],"type":{"bibl":"article-journal","media":"Online-Ressource"},"language":["eng"],"recId":"1702169367","person":[{"given":"Timolaos","family":"Rizos","role":"aut","roleDisplay":"VerfasserIn","display":"Rizos, Timolaos"},{"given":"Anika","family":"Quilitzsch","role":"aut","display":"Quilitzsch, Anika","roleDisplay":"VerfasserIn"},{"given":"Otto","family":"Busse","role":"aut","display":"Busse, Otto","roleDisplay":"VerfasserIn"},{"family":"Haeusler","given":"Karl Georg","display":"Haeusler, Karl Georg","roleDisplay":"VerfasserIn","role":"aut"},{"given":"Matthias","family":"Endres","role":"aut","display":"Endres, Matthias","roleDisplay":"VerfasserIn"},{"given":"Peter","family":"Heuschmann","role":"aut","roleDisplay":"VerfasserIn","display":"Heuschmann, Peter"},{"role":"aut","display":"Veltkamp, Roland","roleDisplay":"VerfasserIn","given":"Roland","family":"Veltkamp"}],"title":[{"title":"Diagnostic work-up for detection of paroxysmal atrial fibrillation after acute ischemic stroke","subtitle":"cross-sectional survey on German stroke units","title_sort":"Diagnostic work-up for detection of paroxysmal atrial fibrillation after acute ischemic stroke"}]} 
SRT |a RIZOSTIMOLDIAGNOSTIC2015 

Similar Items