PDF(Pubmed)
Abstract：
The detection of atrial fibrillation (AF) in patients with cryptogenic stroke (CS) is an essential part of management to limit the risk of recurrence. However, in practice, not all patients who need AF screening are screened, or are screened with significant delays. The disparities of access to examinations, their costs as well as the increasing workload require an evolution of practices both in terms of organization and the type of equipment used. The ubiquity and ease of use of digital devices, together with their evaluation in large population and their expected lower cost, make them attractive as potential alternatives to current equipment at all stages of patient management. However, reliability and accuracy of each digital device for the detection of paroxysmal AF in CS patients should be established before consideration for inclusion in clinical practice. The aim of this short analysis is therefore to review the current practical issues for AF detection in post stroke patients, the potential benefits and issues using digital devices in stroke patients and to position the different digital devices as alternative to standard equipment at each stage of stroke patient pathway. This may help to design future studies for the evaluation of these devices in this context. Under this condition, the time for digital devices to detect AF after stroke seems very close.
摘要：
在隐源性卒中（CS）患者中检测心房颤动（AF）是限制复发风险的管理的重要组成部分。然而,在实践中,并非所有需要房颤筛查的患者都接受筛查，或者被严重延迟筛查。考试机会的差异，它们的成本以及不断增加的工作量需要在组织和使用的设备类型方面的实践演变。数字设备的无处不在和易用性，加上他们对人口众多的评估和他们预期的较低成本，在患者管理的所有阶段，使它们成为当前设备的潜在替代品。然而,在考虑纳入临床实践之前,应确定用于检测CS患者阵发性房颤的每种数字设备的可靠性和准确性.因此，本简短分析的目的是回顾卒中后患者房颤检测的当前实际问题。在卒中患者中使用数字设备的潜在益处和问题，并在卒中患者路径的每个阶段将不同的数字设备定位为标准设备的替代品。这可能有助于在这种情况下设计用于评估这些设备的未来研究。在这种情况下,数字设备在中风后检测AF的时间似乎非常接近。
