Insertable cardiac monitoring devices versus external cardiac monitoring for detecting atrial fibrillation and preventing the recurrence of stroke: A systematic review and meta-analysis

Atrial Fibrillation (AF) is a major risk factor for stroke, which is the second leading cause of death worldwide. It remains uncertain whether insertable cardiac monitors (ICMs) enhance the ability to recognize AF over external cardiac monitoring in patients who have experienced a stroke. We conduct...

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Bibliographic Details
Published in:Journal of electrocardiology 2023-03, Vol.77, p.29-36
Main Authors: Al Qurashi, Abdullah A., Rasheed, Faisal, Siddiqi, Ahsun Rizwan, Abdullah, Muhammad, Mumtaz, Mishal, Khan, Tehrim, Mallick, Abbas Hayat, Jabeen, Sidra, Ahmed, Ifra Eeman, Ochani, Rohan Kumar
Format: Article
Language:English
Subjects:
Anticoagulants
Atrial fibrillation
Atrial Fibrillation - complications
Atrial Fibrillation - diagnosis
Electrocardiography
Electrocardiography, Ambulatory
Humans
Insertable cardiac monitor
meta-analysis
Risk Factors
Stroke
Stroke - diagnosis
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Summary:Atrial Fibrillation (AF) is a major risk factor for stroke, which is the second leading cause of death worldwide. It remains uncertain whether insertable cardiac monitors (ICMs) enhance the ability to recognize AF over external cardiac monitoring in patients who have experienced a stroke. We conducted a systematic review and meta-analysis to determine whether ICM devices are more effective than external cardiac monitoring for the detection of AF in stroke patients. We included studies that reported an AF detection rate in stroke patients with a follow-up of at least 12 months. We analyzed the data of 1233 patients from 3 randomized control trials (RCTs). When compared to external cardiac monitoring, ICM devices (Medtronic Reveal LINQ and Reveal XT) showed a significantly higher detection rate of AF (RR = 5.04, 95% CI = 2.93–8.68; p 
ISSN:0022-0736
1532-8430
DOI:10.1016/j.jelectrocard.2022.11.007