Condition: Paroxysmal Atrial Fibrillation · Cardiac Rhythm Disorder · Left Atrial Dilatation · Sponsor: Parc de Salut Mar
Cryptogenic stroke (CS) causes about 30% of admissions to a stroke unit. Silent paroxysmal atrial fibrillation (PAF) is believed to be the underlying cause of a significant proportion of patients. The use of implantable cardiac monitors (ICM) early after the CS has demonstrated benefits in the diagnostic yield, but the indication for ICM in the current guidelines remains unclear. Atrial contraction strain (ACS) evaluated by cardiac ultrasound could be of help to select the patients more prone to suffer from silent PAF. The purpose of this investigation is to conduct a randomized prospective unicentric study to evaluate the usefulness of ICM for early detection of silent PAF episodes in patients with CS. Clinical and ultrasound predictors of PAF occurrence (ACS) will be studied in order to define patients needing a closer follow-up.
This description comes directly from the study's public registry record.
Ermengol Valles Gras, PhD · 932 48 3118 · evalles@psmar.cat
Ana Beatriz Garcia Duran, MD · 932 48 3118 · 62242@psmar.cat
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| Hospital del Mar | Barcelona, Spain | Recruiting |
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Source record: clinicaltrials.gov/study/NCT06542770