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Tran, R.T.; Rankin, A.J.; Abdul-Rahim, A.H.; Lip, G.Y.H.; Rankin, A.C.; Lees, K.R. (2016)
Publisher: Royal College of Physicians of Edinburgh
Languages: English
Types: Article
Subjects:

Classified by OpenAIRE into

mesheuropmc: cardiovascular diseases
Methods: An online survey of cardiologists and stroke physicians was carried out to assess current management of patients with short runs of atrial arrhythmia within Europe.\ud \ud Results: Respondents included 311 clinicians from 32 countries. To diagnose atrial fibrillation, 80% accepted a single 12-lead ECG and 36% accepted a single run of < 30 seconds on ambulatory monitoring. Stroke physicians were twice as likely to accept < 30 seconds of arrhythmia as being diagnostic of atrial fibrillation (OR 2.43, 95% CI 1.19–4.98). They were also more likely to advocate anticoagulation for hypothetical patients with lower risk; OR 1.9 (95% CI 1.0–3.5) for a patient with CHA2DS2-VASc = 2.\ud \ud Conclusion: Short runs of atrial fibrillation create a dilemma for physicians across Europe. Stroke physicians and cardiologists differ in their diagnosis and management of these patients.
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    • Camm AJ, Kirchhof P, Lip 12 Brambatti M, Connolly SJ, Gold MR et al. Temporal relationship between subclinical atrial fibrillation and embolic events.
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    • wnl.0000325059.86313.31 16 Sposato LA, Cipriano LE, Riccio PM et al. Very short paroxysms account for more than half of the cases of atrial fibrillation detected after stroke and TIA: a systematic review and metaanalysis. Int J Stroke 2015; 10: 801-7. http://dx.doi.org/10.1111/ ijs.12555 17 Diener H-C, Easton JD, Granger CB et al. Design of Randomized, double-blind, Evaluation in 2015; 10: 1309-12. http://dx.doi.org/10.1111/ijs.12630 Institute. http://www.phri.ca/research/stroke-cognition/navigate19 Sanna T, Diener H-C, Passman RS et al. Cryptogenic stroke and underlying atrial fibrillation. N Engl J Med 2014; 370: 2478-86.
    • http://dx.doi.org/10.1056/NEJMoa1313600 20 Gladstone DJ, Spring M, Dorian P et al.Atrial fibrillation in patients with cryptogenic stroke. N Engl J Med 2014; 370: 2467-77. http:// review and meta-analysis. Lancet Neurol 2015; 14: 377-87. http://
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