It is known that atrial fibrillation after stroke significantly increases the risk of stroke or systemic embolism. Accordingly, efforts have been made to detect hidden atrial fibrillation and apply treatment using anticoagulants instead of antiplatelet agents. The conventional method used to screen for atrial fibrillation in stroke patients who did not have atrial fibrillation at first admission is 24-hour Holter monitoring. This study will compare the detection rate of atrial fibrillation with discontinuous ECG monitoring three times a day and 72 hours of single-lead ECG patch monitoring compared with the conventional Holter test.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SCREENING
Masking
NONE
Enrollment
337
Discontinuous ECG monitoring by finger contact every day
Continuous 72hr ECG monitoring by a single-lead patch at 3, 6, 9, 12 months after stroke
Continuous 24-hour monitoring by Holter monitor at 1, 6, 12 month after stroke
Yonsei University Health System, Yongin Severance Hospital
Yongin, Gyeonggi-do, South Korea
Ewha Womans University Seoul Hospital
Gangseo, Seoul, South Korea
Hanyang University Seoul Hospital
Seongdong, Seoul, South Korea
Ewha Womans University Mokdong Hospital
Yangcheon, Seoul, South Korea
Daegu Catholic University Medical Center
Daegu, South Korea
Gachon University Gil Hospital
Incheon, South Korea
Kyung Hee University Hospital
Seoul, South Korea
Yonsei University Health System, Severance Hospital
Seoul, South Korea
Korea University Guro Hospital
Seoul, South Korea
Atrial fibrillation detection rate
Compare detection rates of each arms
Time frame: Until 1 year after stroke
Change from antiplatelet therapy to anticoagulants following AF detection
Change from antiplatelet therapy to anticoagulants following AF detection
Time frame: Until 1 year after stroke
Major adverse cardiac and cerebrovascular event
composite of nonfatal stroke, nonfatal myocardial infarction, and cardiovascular death
Time frame: Until 1 year after stroke
Re-admission
Re-admission
Time frame: Until 1 year after stroke
All-cause death
All-cause death
Time frame: Until 1 year after stroke
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