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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Detection of atrial fibrillation with concurrent Holter monitoring and continuous cardiac telemetry following ischemic stroke and transient ischemic attack
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Detection of atrial fibrillation with concurrent Holter monitoring and continuous cardiac telemetry following ischemic stroke and transient ischemic attack

机译：缺血性中风和短暂性脑缺血发作后同时进行动态心电图监测和连续心脏遥测来检测房颤

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摘要

Atrial fibrillation (AF) is a major risk factor for recurrent ischemic stroke. We aimed to compare the detection rate of AF using continuous cardiac telemetry (CCT) versus Holter monitoring in hospitalized patients with ischemic stroke or transient ischemic attack (TIA). Between June 2007 and December 2008, 133 patients were admitted to an academic institution for ischemic stroke or TIA and underwent concurrent inpatient CCT and Holter monitoring. Rates of AF detection by CCT and Holter monitoring were compared using the McNemar paired proportion test. Among the 133 patients, 8 (6.0%) were diagnosed with new-onset AF. On average, Holter monitoring was performed for 29.8 hours, and CCT was performed for 73.6 hours. The overall rate of AF detection was higher for Holter monitoring compared with CCT (6.0%; 95% confidence interval [CI], 2.9-11.6 vs 0; 95% CI, 0-3.4; P =.008). Holter detection of AF was even higher in specific subgroups (those with an embolic infarct pattern, those age >65 years, and those with coronary artery disease). Holter monitoring detected AF in 6% of hospitalized ischemic stroke and TIA patients, with higher proportions in high-risk subgroups. Compared with CCT, Holter monitoring is significantly more likely to detect arrhythmias.
机译：心房纤颤（AF）是复发性缺血性中风的主要危险因素。我们的目的是比较住院的缺血性中风或短暂性脑缺血发作（TIA）患者使用连续心脏遥测（CCT）与动态心电图监测对房颤的检出率。在2007年6月至2008年12月之间，有133名患者因缺血性中风或TIA入院，并同时接受了住院CCT和动态心电图监测。使用McNemar配对比例检验比较了通过CCT和Holter监测进行的AF检测率。在这133例患者中，有8例（6.0％）被诊断出患有新发房颤。平均而言，动态心电图监测进行29.8小时，而CCT进行73.6小时。与CCT相比，动态心电图监测的房颤总检出率更高（6.0％; 95％置信区间[CI]：2.9-11.6对0; 95％CI：0-3.4; P = .008）。在特定的亚组（具有栓塞性梗塞型，年龄大于65岁的人群以及患有冠状动脉疾病的人群）中，对心房颤动的动态心电图检测甚至更高。动态心电图监测在6％的住院缺血性卒中和TIA患者中发现了房颤，在高危亚组中这一比例更高。与CCT相比，动态心电图监测更有可能发现心律不齐。

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