Ischemic stroke electrocardiogram: Difference between revisions
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*ECG monitoring in first 24 hours may help determine the new onset or paroxysmal atrial fibrillation. | *ECG monitoring in first 24 hours may help determine the new onset or paroxysmal atrial fibrillation. | ||
*May determine cardiac complications of acute ischemic stroke such as myocardial ischemia or arrythmias. | *May determine cardiac complications of acute ischemic stroke such as myocardial ischemia or arrythmias. | ||
== 2021 Guideline for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack: A Guideline From the American Heart Association/American Stroke Association<ref name="pmid34024117">{{cite journal| author=Kleindorfer DO, Towfighi A, Chaturvedi S, Cockroft KM, Gutierrez J, Lombardi-Hill D | display-authors=etal| title=2021 Guideline for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack: A Guideline From the American Heart Association/American Stroke Association. | journal=Stroke | year= 2021 | volume= 52 | issue= 7 | pages= e364-e467 | pmid=34024117 | doi=10.1161/STR.0000000000000375 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=34024117 }}</ref> == | |||
=== Recommendations for Diagnostic Evaluation Referenced studies that support recommendations are summarized in online Data Supplements 1 and 2 === | |||
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| colspan="1" style="text-align:center; background:LightGreen" |[[EHS ESC guidelines classification scheme#Classification of Recommendations|Class I]] | |||
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| bgcolor="LightGreen" |1. In patients suspected of having a stroke or TIA, an ECG is recommended to screen for atrial fibrillation (AF) and atrial flutter and to assess for other concomitant cardiac conditions. ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: B-R]])''<nowiki>"</nowiki> | |||
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'''For AHA/ASA guidelines for cardiac monitoring in patients with ischemic stroke, please''' [[AHA/ASA guideline recommendations for of Early management of acute ischemic stroke#General Supportive Care and Treatment of Acute Complications|click here]] | '''For AHA/ASA guidelines for cardiac monitoring in patients with ischemic stroke, please''' [[AHA/ASA guideline recommendations for of Early management of acute ischemic stroke#General Supportive Care and Treatment of Acute Complications|click here]] | ||
Revision as of 13:49, 12 January 2023
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Aysha Anwar, M.B.B.S[2]
Overview
An electrocardiogram (ECG) may be performed to determine the underlying etiology such as arrhythmias which may result in clots in the heart that may spread to the brain vessels through the bloodstream. A Holter monitor may be used to identify intermittent arrhythmias.
Electrocardiogram
ECG findings in patients of ischemic stroke may help determine the following:[1][2]
- Underlying cause for ischemic stroke such as embolic source in atrial fibrillation, ongoing myocardial ischemia, chronic myocardial injury and valvular abnormalities.
- ECG monitoring in first 24 hours may help determine the new onset or paroxysmal atrial fibrillation.
- May determine cardiac complications of acute ischemic stroke such as myocardial ischemia or arrythmias.
2021 Guideline for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack: A Guideline From the American Heart Association/American Stroke Association[3]
Recommendations for Diagnostic Evaluation Referenced studies that support recommendations are summarized in online Data Supplements 1 and 2
| Class I |
| 1. In patients suspected of having a stroke or TIA, an ECG is recommended to screen for atrial fibrillation (AF) and atrial flutter and to assess for other concomitant cardiac conditions. (Level of Evidence: B-R)" |
For AHA/ASA guidelines for cardiac monitoring in patients with ischemic stroke, please click here
References
- ↑ Ustrell X, Pellisé A (2010). "Cardiac workup of ischemic stroke". Curr Cardiol Rev. 6 (3): 175–83. doi:10.2174/157340310791658721. PMC 2994109. PMID 21804776.
- ↑ Togha M, Sharifpour A, Ashraf H, Moghadam M, Sahraian MA (2013). "Electrocardiographic abnormalities in acute cerebrovascular events in patients with/without cardiovascular disease". Ann Indian Acad Neurol. 16 (1): 66–71. doi:10.4103/0972-2327.107710. PMC 3644785. PMID 23661966.
- ↑ Kleindorfer DO, Towfighi A, Chaturvedi S, Cockroft KM, Gutierrez J, Lombardi-Hill D; et al. (2021). "2021 Guideline for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack: A Guideline From the American Heart Association/American Stroke Association". Stroke. 52 (7): e364–e467. doi:10.1161/STR.0000000000000375. PMID 34024117 Check
|pmid=value (help).