Sökning: WFRF:(Schnabel Renate B.) > Searching for Atria...
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000 | 08380naa a2200913 4500 | |
001 | oai:lup.lub.lu.se:6d07505f-d423-4858-8033-b3fffd0b305f | |
003 | SwePub | |
008 | 191204s2019 | |||||||||||000 ||eng| | |
009 | oai:prod.swepub.kib.ki.se:142492508 | |
024 | 7 | a https://lup.lub.lu.se/record/6d07505f-d423-4858-8033-b3fffd0b305f2 URI |
024 | 7 | a https://doi.org/10.1161/CIRCULATIONAHA.119.0402672 DOI |
024 | 7 | a http://kipublications.ki.se/Default.aspx?queryparsed=id:1424925082 URI |
040 | a (SwePub)lud (SwePub)ki | |
041 | a engb eng | |
042 | 9 SwePub | |
072 | 7 | a art2 swepub-publicationtype |
072 | 7 | a ref2 swepub-contenttype |
100 | 1 | a Schnabel, Renate B.u German Centre for Cardiovascular Research,University Medical Center Hamburg-Eppendorf4 aut |
245 | 1 0 | a Searching for Atrial Fibrillation Poststroke : A White Paper of the AF-SCREEN International Collaboration |
264 | 1 | c 2019 |
300 | a 17 s. | |
520 | a Cardiac thromboembolism attributed to atrial fibrillation (AF) is responsible for up to one-third of ischemic strokes. Stroke may be the first manifestation of previously undetected AF. Given the efficacy of oral anticoagulants in preventing AF-related ischemic strokes, strategies of searching for AF after a stroke using ECG monitoring followed by oral anticoagulation (OAC) treatment have been proposed to prevent recurrent cardioembolic strokes. This white paper by experts from the AF-SCREEN International Collaboration summarizes existing evidence and knowledge gaps on searching for AF after a stroke by using ECG monitoring. New AF can be detected by routine plus intensive ECG monitoring in approximately one-quarter of patients with ischemic stroke. It may be causal, a bystander, or neurogenically induced by the stroke. AF after a stroke is a risk factor for thromboembolism and a strong marker for atrial myopathy. After acute ischemic stroke, patients should undergo 72 hours of electrocardiographic monitoring to detect AF. The diagnosis requires an ECG of sufficient quality for confirmation by a health professional with ECG rhythm expertise. AF detection rate is a function of monitoring duration and quality of analysis, AF episode definition, interval from stroke to monitoring commencement, and patient characteristics including old age, certain ECG alterations, and stroke type. Markers of atrial myopathy (eg, imaging, atrial ectopy, natriuretic peptides) may increase AF yield from monitoring and could be used to guide patient selection for more intensive/prolonged poststroke ECG monitoring. Atrial myopathy without detected AF is not currently sufficient to initiate OAC. The concept of embolic stroke of unknown source is not proven to identify patients who have had a stroke benefitting from empiric OAC treatment. However, some embolic stroke of unknown source subgroups (eg, advanced age, atrial enlargement) might benefit more from non-vitamin K-dependent OAC therapy than aspirin. Fulfilling embolic stroke of unknown source criteria is an indication neither for empiric non-vitamin K-dependent OAC treatment nor for withholding prolonged ECG monitoring for AF. Clinically diagnosed AF after a stroke or a transient ischemic attack is associated with significantly increased risk of recurrent stroke or systemic embolism, in particular, with additional stroke risk factors, and requires OAC rather than antiplatelet therapy. The minimum subclinical AF duration required on ECG monitoring poststroke/transient ischemic attack to recommend OAC therapy is debated. | |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kardiologi0 (SwePub)302062 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cardiac and Cardiovascular Systems0 (SwePub)302062 hsv//eng |
653 | a anticoagulants | |
653 | a atrial fibrillation | |
653 | a cardiomyopathies | |
653 | a electrocardiography | |
653 | a stroke | |
700 | 1 | a Haeusler, Karl Georgu University Hospital of Wϋrzburg4 aut |
700 | 1 | a Healey, Jeffrey S.u McMaster University4 aut |
700 | 1 | a Freedman, Benu University of Sydney4 aut |
700 | 1 | a Boriani, Giuseppeu University of Modena and Reggio Emilia4 aut |
700 | 1 | a Brachmann, Johannesu Klinikum Coburg4 aut |
700 | 1 | a Brandes, Axelu Odense University Hospital4 aut |
700 | 1 | a Bustamante, Alejandrou Vall d'Hebron University Hospital4 aut |
700 | 1 | a Casadei, Barbarau University of Oxford4 aut |
700 | 1 | a Crijns, Harry J.G.M.u Maastricht University Medical Centre4 aut |
700 | 1 | a Doehner, Wolframu Charité - University Medicine Berlin,German Centre for Cardiovascular Research4 aut |
700 | 1 | a Engström, Gunnaru Lund University,Lunds universitet,Kardiovaskulär forskning - epidemiologi,Forskargrupper vid Lunds universitet,Cardiovascular Research - Epidemiology,Lund University Research Groups4 aut0 (Swepub:lu)smi-gen |
700 | 1 | a Fauchier, Laurentu University Of Tours,University Hospital of Tours4 aut |
700 | 1 | a Friberg, Leifu Karolinska Institute4 aut |
700 | 1 | a Gladstone, David J.u Sunnybrook Health Sciences Centre,University of Toronto4 aut |
700 | 1 | a Glotzer, Taya V.u Hackensack University Medical Center4 aut |
700 | 1 | a Goto, Shinyau Tokai University4 aut |
700 | 1 | a Hankey, Graeme J.u University of Western Australia, Perth,Sir Charles Gairdner Hospital4 aut |
700 | 1 | a Harbison, Joseph A.u Trinity College Dublin4 aut |
700 | 1 | a Hobbs, F. D.Richardu University of Oxford4 aut |
700 | 1 | a Johnson, Linda S.B.u Lund University,Lunds universitet,Kardiovaskulär forskning - epidemiologi,Forskargrupper vid Lunds universitet,Cardiovascular Research - Epidemiology,Lund University Research Groups4 aut0 (Swepub:lu)med-laj |
700 | 1 | a Kamel, Hoomanu Cornell University4 aut |
700 | 1 | a Kirchhof, Paulusu University of Birmingham,University Hospitals Birmingham4 aut |
700 | 1 | a Korompoki, Eleniu Imperial College London4 aut |
700 | 1 | a Krieger, Derk W.u Mediclinic City Hospital, Dubai,Mohammed Bin Rashid University of Medicine and Health Sciences4 aut |
700 | 1 | a Lip, Gregory Y.H.u Liverpool Heart and Chest Hospital,University of Liverpool4 aut |
700 | 1 | a Løchen, Maja Lisau University Hospital of North Norway4 aut |
700 | 1 | a Mairesse, Georges H.u Cliniques du Sud Luxembourg4 aut |
700 | 1 | a Montaner, Joanu Vall d'Hebron University Hospital4 aut |
700 | 1 | a Neubeck, Lisu Edinburgh Napier University4 aut |
700 | 1 | a Ntaios, Georgeu University of Thessaly4 aut |
700 | 1 | a Piccini, Jonathan P.u Duke Clinical Research Institute (DCRI),Duke University Medical Center4 aut |
700 | 1 | a Potpara, Tatjana S.u University of Belgrade4 aut |
700 | 1 | a Quinn, Terence J.u University of Glasgow4 aut |
700 | 1 | a Reiffel, James A.u Columbia University4 aut |
700 | 1 | a Ribeiro, Antonio Luiz Pinhou Federal University of Minas Gerais,Hospital das Clínicas da Universidade Federal de Minas Gerais4 aut |
700 | 1 | a Rienstra, Michielu University of Groningen,University Medical Center Groningen4 aut |
700 | 1 | a Rosenqvist, Mårtenu Karolinska Institute4 aut |
700 | 1 | a Sakis, Themistoclakisu Venice-Mestre Hospital (Ospedale dell'Angelo)4 aut |
700 | 1 | a Sinner, Moritz F.u University Hospital Munich,German Centre for Cardiovascular Research,Ludwig-Maximilian University of Munich4 aut |
700 | 1 | a Svendsen, Jesper Hastrupu Copenhagen University Hospital,University of Copenhagen4 aut |
700 | 1 | a Van Gelder, Isabelle C.u University Medical Center Groningen,University of Groningen4 aut |
700 | 1 | a Wachter, Rolfu University Hospital Leipzig,University Medical Center Göttingen,German Centre for Cardiovascular Research4 aut |
700 | 1 | a Wijeratne, Tissau Sunshine Hospital, St Albans,University of Melbourne4 aut |
700 | 1 | a Yan, Bernardu Royal Melbourne Hospital4 aut |
710 | 2 | a German Centre for Cardiovascular Researchb University Medical Center Hamburg-Eppendorf4 org |
773 | 0 | t Circulationg 140:22, s. 1834-1850q 140:22<1834-1850x 1524-4539 |
856 | 4 | u http://dx.doi.org/10.1161/CIRCULATIONAHA.119.040267y FULLTEXT |
856 | 4 8 | u https://lup.lub.lu.se/record/6d07505f-d423-4858-8033-b3fffd0b305f |
856 | 4 8 | u https://doi.org/10.1161/CIRCULATIONAHA.119.040267 |
856 | 4 8 | u http://kipublications.ki.se/Default.aspx?queryparsed=id:142492508 |
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