09/04/2026
From the recent edition of MoMed: Long-Term Cardiac Rhythm Monitoring After Ischemic Stroke: Detecting Atrial Fibrillation in the Era of Atrial Cardiopathy
"Long-term cardiac rhythm monitoring has become a central component of the diagnostic evaluation of patients with ischemic stroke in whom atrial fibrillation (AF) is suspected but not initially detected. Implantable loop recorders (ILRs) substantially increase AF detection compared with conventional short-term monitoring, particularly when surveillance is extended over months to years.
However, increased detection has not consistently translated into fewer strokes, underscoring important limitations in current paradigms. Growing evidence supports atrial cardiopathy as the underlying substrate predisposing to thromboembolism, with AF representing a variable electrical manifestation rather than the primary disease itself."
Read more from Kimberley Pfeiffer, FNP, Alibay Jafarli, MD, Francisco E. Gomez, MD, Brandi R. French, MD, Adnan I. Qureshi, MD & Camilo R. Gomez, MD: https://digitaleditions.walsworth.com/publication/?i=865782&p=70&view=issueViewer
