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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >High Detection Rate of Atrial Fibrillation With Insertable Cardiac Monitor Implantation in Patients With Cryptogenic Stroke Diagnosed by Magnetic Resonance Imaging
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High Detection Rate of Atrial Fibrillation With Insertable Cardiac Monitor Implantation in Patients With Cryptogenic Stroke Diagnosed by Magnetic Resonance Imaging

机译:磁共振成像诊断患者可插入心脏监测器植入的高检测率

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Background: Detection and treatment of atrial fibrillation (AF) is a major goal in preventing secondary stroke. Insertable cardiac monitors (ICMs) are available for diagnosis of arrhythmia monitoring in patients with cryptogenic stroke. Magnetic resonance imaging (MRI)-based diagnostic evaluation for acute ischemic stroke subtype classification is common in Japan and can be useful for specific diagnosis of cryptogenic stroke. Purpose: We aimed to investigate the detection rate of AF with an ICM in patients with cryptogenic stroke who were diagnosed by MRI. Methods: We performed a retrospective, multicenter, observational study. AF monitoring data of an ICM (Reveal LINQ) in patients with cryptogenic stroke were registered from 5 stroke centers in Japan between October 2016 and March 2018. ICM candidates in cryptogenic stroke were diagnosed by MRI-based evaluation and selected according to the criteria proposed by the Japan Stroke Society. Detection of AF was defined as AF for longer than 120 seconds. Results: Eighty-four consecutive patients (64 men; aged 38-90 years) underwent ICM implantation after diagnosis of cryptogenic stroke. AF was detected in 22 of 84 (26.2%) patients with an ICM during a median follow-up of 221.5 days (range: 93-365 days). The detection rate of AF within 3 months after ICM implantation was 21.4%. Conclusions: The AF detection rate with an ICM is approximately one fifth within 3 months in patients with cryptogenic stroke as diagnosed by MRI. Our data suggest that the Japanese criteria based on MRI may be useful for selecting adequate candidates for ICM implantation.
机译:背景:心房颤动的检测和治疗(AF)是预防继发性中风的主要目标。可插入的心脏监测器(ICMS)可用于诊断阴性卒中患者的心律失常监测。磁共振成像(MRI)基于急性缺血性卒中亚型分类的诊断评估在日本常见于日本常见,可用于细胞凋亡的特定诊断。目的:我们旨在调查患有MRI诊断的密码脑卒中患者的AF与ICM的检测率。方法:我们进行了回顾性,多中心,观察研究。 AF监测Cryptogenc卒中患者的ICM(揭示LINQ)的数据从日本的5月和2018年3月期间从日本的5个中风中心注册。通过基于MRI的评估诊断,并根据所提出的标准进行诊断出来的ChiCocoic中风中的ICM候选人日本冲程社会。检测AF定义为AF超过120秒。结果:连续八十四名患者(64名男子; 38-90岁)诊断密码脑卒中后接受了ICM植入。在221.5天的中位随访期间,在84名(26.2%)患者中检测到AF的22例(范围:93-365天)。 ICM植入后3个月内的AF的检出率为21.4%。结论:ICM的AF检测率在患有MRI诊断的密码脑卒中患者的3个月内大约五分之一。我们的数据表明,基于MRI的日本标准可能对选择ICM植入的适当候选人有用。

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