- Title
- Pilot experience using a portable electrocardiography device for atrial fibrillation detection in an outpatient stroke clinic
- Creator
- Chew, Beng Lim Alvin; Garcia-Esperon, Carlos; Dunkerton, Sophie; Spratt, Neil J.
- Relation
- Australian Journal of Rural Health Vol. 31, Issue 3, p. 587-588
- Publisher Link
- http://dx.doi.org/10.1111/ajr.12957
- Publisher
- John Wiley & Sons
- Resource Type
- journal article
- Date
- 2023
- Description
- Identification of the embolic source after stroke is crucial to reduce recurrence, which occurs in 25% of patients.1 Nevertheless, the mechanism of stroke remains undetermined in 20% of patients after work up. Atrial fibrillation (AF) is the source of stroke in 20%–25% of patients, and 10% of recurrent strokes of undetermined cause initially have been found to have paroxysmal AF.2 The current guidelines consider 24-h electrocardiography (ECG) monitoring as the minimum length required after stroke.3 However, this approach captures AF in only 1% of patients,4 and access to longer periods of recording as an outpatient (particularly in rural areas) is limited. Smartphone-enabled hand-held ECG (iECG) devices have been incorporated into routine clinical care in stroke, resulting in significantly higher and earlier AF detection than 24-h Holter-ECG (8.5% vs. 2.8%).5 Our aim was to assess the feasibility and real-world detection rate of AF using the Kardia-iECG in an outpatient setting. Ethics was obtained from the Hunter Research Ethics Committee with the approval identifier 2021/ETH11657.
- Subject
- atrial fibrillation (AF); stroke; electrocardiography device; patients; SDG 3; Sustainable Development Goals
- Identifier
- http://hdl.handle.net/1959.13/1489518
- Identifier
- uon:52719
- Identifier
- ISSN:1038-5282
- Language
- eng
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