Current Practices of Cardiac Monitoring and Early Rhythm-Control Therapy for Atrial Fibrillation and Stroke Prevention

We conducted an international survey of stroke physicians to assess practices and attitudes toward cardiac monitoring and early rhythm control. A 20-question survey was completed by 241 clinicians representing 61 countries. The minimum duration of actionable atrial fibrillation varied widely, and more than 90% (223/241) of respondents indicated a willingness to enroll patients in a trial assessing the ideal duration of cardiac monitoring. Only a quarter of respondents (62/241) offered early rhythm control for patients with atrial fibrillation, with the majority (209/241, 87%) expressing an opinion that there was equipoise about the benefit of rhythm control in the post-stroke population.

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Publication Details

Journal
Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques
Published
2025-04-24
DOI
https://doi.org/10.1017/cjn.2025.81
Citations
2
Primary Topic
Heart Rate Variability and Autonomic Control
Type
article
Field-Weighted Citation Impact
2.78
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article

Current Practices of Cardiac Monitoring and Early Rhythm-Control Therapy for Atrial Fibrillation and Stroke Prevention

Vignan Yogendrakumar, Luciano Alberto Sposato, Diana Ayán, Gustavo Saposnik et al.
2 citations
Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques
Heart Rate Variability and Autonomic Control
2.78
article

Current Practices of Cardiac Monitoring and Early Rhythm-Control Therapy for Atrial Fibrillation and Stroke Prevention

Vignan Yogendrakumar, Luciano Alberto Sposato, Diana Ayán, Gustavo Saposnik, Thalia Shoshana Field, Jason G. Andrade, Michael D. Hill
article en
2 citations

Abstract

We conducted an international survey of stroke physicians to assess practices and attitudes toward cardiac monitoring and early rhythm control. A 20-question survey was completed by 241 clinicians representing 61 countries. The minimum duration of actionable atrial fibrillation varied widely, and more than 90% (223/241) of respondents indicated a willingness to enroll patients in a trial assessing the ideal duration of cardiac monitoring. Only a quarter of respondents (62/241) offered early rhythm control for patients with atrial fibrillation, with the majority (209/241, 87%) expressing an opinion that there was equipoise about the benefit of rhythm control in the post-stroke population.

Canadian Journal of Neurological Sciences / Journal Canadien des Sciences NeurologiquesVol. 53(1)
Western University (CA), University of British Columbia (CA), University of Ottawa (CA), The University of Melbourne (AU), University of Calgary (CA), University of Toronto (CA)
Good health and well-being
Openalex Percentile: Top 10%
Heart Rate Variability and Autonomic Control
2.78
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Current Practices of Cardiac Monitoring and Early Rhythm-Control Therapy for Atrial Fibrillation and Stroke Prevention — Vignan Yogendrakumar, Luciano Alberto Sposato, et al. · Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques (2025) | TGRS Research Map | TGRS