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Time trends and patient selection in the use of continuous ECG for detecting atrial fibrillation after stroke: A nationwide cohort study

European Journal of Neurology Jul 01, 2020

Lyckhage LF, Hansen ML, Butt JH, et al. - A Danish nationwide cohort was designed to describe post‐stroke time trends in outpatient cECG usage and atrial fibrillation incidences and characterized factors associated with cECG use. Between 2010 and 2016, researchers distinguished individuals without AF discharged after their first ischemic stroke from Danish nationwide registries. They applied cumulative incidence analysis and multivariable adjusted logistic regression to evaluate time trends and factors correlated with cECG usage and AF. A total of 39,641 patients were included in the study. The data suggested that post‐stroke outpatient cECG use and AF incidences have elevated over time, but screening rates were low. An association was found between cECG use and tripled odds of detecting AF. A disparity was noted between factors correlated with cECG use and risk factors of AF. Moreover, this questions the appropriateness of the recent clinical approach to post‐stoke AF detection.

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