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Clinical Research in Cardiology
Published in: Clinical Research in Cardiology 10/2018

01-10-2018 | Review

Expert opinion paper on atrial fibrillation detection after ischemic stroke

Authors: Karl Georg Haeusler, Klaus Gröschel, Martin Köhrmann, Stefan D. Anker, Johannes Brachmann, Michael Böhm, Hans-Christoph Diener, Wolfram Doehner, Matthias Endres, Christian Gerloff, Hagen B. Huttner, Manfred Kaps, Paulus Kirchhof, Darius Günther Nabavi, Christian H. Nolte, Waltraud Pfeilschifter, Burkert Pieske, Sven Poli, Wolf Rüdiger Schäbitz, Götz Thomalla, Roland Veltkamp, Thorsten Steiner, Ulrich Laufs, Joachim Röther, Rolf Wachter, Renate Schnabel

Published in: Clinical Research in Cardiology | Issue 10/2018

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Abstract

This expert opinion paper on atrial fibrillation detection after ischemic stroke includes a statement of the “Heart and Brain” consortium of the German Cardiac Society and the German Stroke Society. This paper was endorsed by the Stroke Unit-Commission of the German Stroke Society and the German Atrial Fibrillation NETwork. In patients with ischemic stroke, detection of atrial fibrillation should usually lead to a change in secondary stroke prevention, since oral anticoagulation is superior to antiplatelet drugs. The detection of previously undiagnosed atrial fibrillation can be improved in patients with ischemic stroke to optimize stroke prevention. This paper summarizes the present knowledge on atrial fibrillation detection after ischemic stroke. We propose an interdisciplinary standard for a “structured analysis of ECG monitoring” on the stroke unit as well as a staged diagnostic scheme for the detection of atrial fibrillation. Since the optimal duration and mode of ECG monitoring has not yet been finally established, this paper is intended to give advice to physicians who are involved in stroke care. In line with the nature of an expert opinion paper, labeling of classes of recommendations is not provided, since many statements are based on the expert opinion, reported case series and clinical experience. Therefore, this paper is not intended as a guideline.
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Metadata
Title
Expert opinion paper on atrial fibrillation detection after ischemic stroke
Authors
Karl Georg Haeusler
Klaus Gröschel
Martin Köhrmann
Stefan D. Anker
Johannes Brachmann
Michael Böhm
Hans-Christoph Diener
Wolfram Doehner
Matthias Endres
Christian Gerloff
Hagen B. Huttner
Manfred Kaps
Paulus Kirchhof
Darius Günther Nabavi
Christian H. Nolte
Waltraud Pfeilschifter
Burkert Pieske
Sven Poli
Wolf Rüdiger Schäbitz
Götz Thomalla
Roland Veltkamp
Thorsten Steiner
Ulrich Laufs
Joachim Röther
Rolf Wachter
Renate Schnabel
Publication date
01-10-2018
Publisher
Springer Berlin Heidelberg
Published in
Clinical Research in Cardiology / Issue 10/2018
Print ISSN: 1861-0684
Electronic ISSN: 1861-0692
DOI
https://doi.org/10.1007/s00392-018-1256-9

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