Very short paroxysms account for more than half of the cases of atrial fibrillation detected after stroke and TIA: A systematic review and meta-analysis

International Journal of Stroke

Volumn 10, Issue 6, 2015, Pages 801-807

  Sposato, Luciano A ^a   Cipriano, Lauren E ^b   Riccio, Patricia M ^a   Hachinski, Vladimir ^a   Saposnik, Gustavo ^c,d  

^a UNIVERSITY OF WESTERN ONTARIO   (Canada)

^b UNIVERSITY OF WESTERN ONTARIO   (Canada)

^c ST MICHAEL'S HOSPITAL   (Canada)

^d ST MICHAEL'S HOSPITAL   (Canada)

Author keywords

Atrial fibrillation; Cardiac embolism; Cardio aortic embolism; Meta analysis; Screening; Transient ischemic attack

Indexed keywords

ARTICLE; ATRIAL FIBRILLATION; CEREBROVASCULAR ACCIDENT; CLINICAL FEATURE; COHORT ANALYSIS; DISEASE ASSOCIATION; ELECTROCARDIOGRAPHY; HOLTER MONITORING; HUMAN; PATIENT MONITORING; PRIORITY JOURNAL; RISK BENEFIT ANALYSIS; SENSITIVITY ANALYSIS; SYSTEMATIC REVIEW; TELEMETRY; TRANSIENT ISCHEMIC ATTACK; COMPLICATION; ISCHEMIC ATTACK, TRANSIENT; META ANALYSIS; PATHOPHYSIOLOGY; STROKE; TIME FACTOR;

ATRIAL FIBRILLATION; HUMANS; ISCHEMIC ATTACK, TRANSIENT; STROKE; TIME FACTORS;

EID: 84938212114     PISSN: 17474930     EISSN: 17474949     Source Type: Journal    
DOI: 10.1111/ijs.12555     Document Type: Article

References (32)

1. European Heart Rhythm Association, European Association for Cardio-Thoracic Surgery, Camm AJ etal. Guidelines for the management of atrial fibrillation: the Task Force for the Management of Atrial Fibrillation of the European Society of Cardiology (ESC). Eur Heart J 2010; 31:2369-2429.
2. Rankin AJ, Tran R, Abdul-Rahim AH, Rankin AC, Lees KR. Clinically Important Atrial Arrhythmia and Stroke Risk: A UK Wide Online Survey among Stroke Physicians and Cardiologists. QJM 2014; 107:895-902.
3. Friberg L, Hammar N, Rosenqvist M. Stroke in paroxysmal atrial fibrillation: report from the Stockholm Cohort of Atrial Fibrillation. Eur Heart J 2010; 31:967-975.
4. Tayal AH, Tian M, Kelly KM etal. Atrial fibrillation detected by mobile cardiac outpatient telemetry in cryptogenic TIA or stroke. Neurology 2008; 71:1696-1701.
5. Kirchhof P, Lip GY, Van Gelder IC etal. Comprehensive risk reduction in patients with atrial fibrillation: emerging diagnostic and therapeutic options-a report from the 3rd Atrial Fibrillation Competence NETwork/European Heart Rhythm Association consensus conference. Europace 2012; 14:8-27.
6. Glotzer TV, Hellkamp AS, Zimmerman J etal. Atrial high rate episodes detected by pacemaker diagnostics predict death and stroke: report of the Atrial Diagnostics Ancillary Study of the MOde Selection Trial (MOST). Circulation 2003; 107:1614-1619.
7. Hart RG, Pearce LA, Rothbart RM, McAnulty JH, Asinger RW, Halperin JL. Stroke with intermittent atrial fibrillation: incidence and predictors during aspirin therapy. Stroke Prevention in Atrial Fibrillation Investigators. J Am Coll Cardiol 2000; 35:183-187.
8. Healey JS, Connolly SJ, Gold MR etal. Subclinical atrial fibrillation and the risk of stroke. N Engl J Med 2012; 366:120-129.
9. Sposato LA, Riccio PM, Hachinski V. Poststroke atrial fibrillation: cause or consequence? Critical review of current views. Neurology 2014; 82:1180-1186.
10. Higgins JPT, Altman DG. Assessing risk of bias in included studies; in Higgins JPT, Green S (eds): Cochrane Handbook for Systematic Reviews of Interventions Version 501. Chichester, UK, Wiley, 2008:1-53.
11. Sposato LA, Cipriano LE, Saposnik G, Ruiz Vargas E, Riccio PM, Hachinski V. Diagnosis of atrial fibrillation after Stroke and transient ischemic attack: a systematic review and meta-analysis to guide clinical decision making. Lancet Neurol 2015; 14:377-387.
12. Rücker G, Schwarzer G, Carpenter J, Olkin I. Why add anything to nothing? The arcsine difference as a measure of treatment effect in meta-analysis with zero cells. Stat Med 2009; 28:721-738.
13. Paule RC, Mandel J. Consensus values and weighting factors. J Res Natl Bur Stand 1982; 87:377-385.
14. Egger M, Davey Smith G, Schneider M, Minder C. Bias in meta-analysis detected by a simple, graphical test. BMJ 1997; 315:629-634.
15. González Toledo ME, Klein FR, Riccio PM etal. Atrial fibrillation detected after acute ischemic stroke: evidence supporting the neurogenic hypothesis. J Stroke Cerebrovasc Dis 2013; 22:e486-491.
16. Alhadramy O, Jeerakathil TJ, Majumdar SR, Najjar E, Choy J, Saqqur M. Prevalence and predictors of paroxysmal atrial fibrillation on Holter monitor in patients with stroke or transient ischemic attack. Stroke 2010; 41:2596-2600.
17. Miller DJ, Khan MA, Schultz LR, Simpson JR, Katramados AM, Russman AN. Outpatient cardiac telemetry detects a high rate of atrial fibrillation in cryptogenic stroke. J Neurol Sci 2013; 324:57-61.
18. Rabinstein AA, Fugate JE, Mandrekar J etal. Paroxysmal atrial fibrillation in cryptogenic stroke: case-control study. J Stroke Cerebrovasc Dis 2013; 22:1405-1411.
19. Flint AC, Banki NM, Ren X, Rao VA, Go AS. Detection of paroxysmal atrial fibrillation by 30-day event monitoring in cryptogenic ischemic stroke: the Stroke and Monitoring for PAF in Real Time (SMART) Registry. Stroke 2012; 43:2788-2790.
20. Gladstone DJ, Spring M, Dorian P etal. Atrial fibrillation in patients with cryptogenic stroke. New Eng J Med 2014; 370:2467-2477.
21. Higgins P, MacFarlane PW, Dawson J, McInnes GT, Langhorne P, Lees KR. Noninvasive cardiac event monitoring to detect atrial fibrillation after ischemic stroke: randomized, controlled trial. Stroke 2013; 44:2525-2531.
22. Dion F, Saudeau D, Bonnaud I etal. Unexpected low prevalence of atrial fibrillation in cryptogenic ischemic stroke: prospective study. J Interv Card Electrophysiol 2010; 28:101-107.
23. Botto GL, Padeletti L, Santini M etal. Presence and duration of atrial fibrillation detected by continuous monitoring: crucial implications for the risk of thromboembolic events. J Cardiovasc Electrophysiol 2009; 20:241-248.
24. Spach MS, Dolber PC. Relating extracellular potentials and their derivatives to anisotropic propagation at a microscopic level in human cardiac muscle: evidence for electrical uncoupling of side-to-side fiber connections with increasing age. Circ Res 1986; 58:356-371.
25. Frustaci A, Chimenti C, Bellocci F, Morgante E, Russo MA, Maseri A. Histological substrate of atrial biopsies in patients with lone atrial fibrillation. Circulation 1997; 96:1180-1184.
26. Isaac TT, Dokainish H, Lakkis NM. Role of inflammation in initiation and perpetuation of atrial fibrillation. A systematic review of the published data. J Am Coll Cardiol 2007; 50:2021-2028.
27. Higgins P, Dawson J, MacFarlane PW, McArthur K, Langhorne P, Lees KR. Predictive value of newly detected atrial fibrillation paroxysms in patients with acute ischemic stroke, for atrial fibrillation after 90 days. Stroke 2014; 45:2134-2136.
28. Daoud EG, Glotzer TV, Wyse DG etal. Temporal relationship of atrial tachyarrhythmias, cerebrovascular events, and systemic emboli based on stored device data: a subgroup analysis of TRENDS. Heart Rhythm 2011; 8:1416-1423.
29. Turakhia MP, Ziegler PD, Bucksa A, Xu X, Than C, Singer D Atrial arrhythmia burden increases just proximal to stroke: insights from remote monitoring in a national health care system. 2014. Presented at Heart Rhythm Society Scientific Sessions; May 8, 2014; San Francisco, California. Available at http://ondemand.hrsonline.org/common/presentation-detail.aspx/15/35/1169/8418 (accessed February 23, 2015).
30. Jüni P, Holenstein F, Sterne J, Bartlett C, Egger M. Direction and impact of language bias in meta-analyses of controlled trials: empirical study. Int J Epidemiol 2002; 31:115-123.
31. Stroke Risk in Atrial Fibrillation Working Group. Independent predictors of stroke in patients with atrial fibrillation: a systematic review. Neurology 2007; 69:546-554.
32. Lip GY, Nieuwlaat R, Pisters R, Lane DA, Crijns HJ. Refining clinical risk stratification for predicting stroke and thromboembolism in atrial fibrillation using a novel risk factor-based approach: the Euro Heart Survey on atrial fibrillation. Chest 2010; 137:263-272.