Detection of Atrial Fibrillation by Holter Monitoring in Elderly Patients with Ischemic Stroke
Keywords:
Atrial fibrillation, Holter monitoring, Ischemic stroke, Elderly, elderly stroke patient who is aged over 70 years.Abstract
Introduction: Atrial fibrillation (AF) is one of the preventable causes of ischemic stroke. Searching for AF in ischemic stroke patients is very important. But there is low probability to detect and not suitable to use Holter monitoring to detect AF in all patients. However, if selected only for those groups with a higher prevalence of AF, it probably is more appropriate.
Objective: To find the prevalence of AF detected by the Holter monitoring in patients 70 years old or older, hospitalized with ischemic stroke.
Method: All ischemic stroke patients who are 70 years old or older admitted at Trang hospital from June 10, 2014 to October 4, 2019 were prospectively enrolled in order to detect AF by the Holter monitoring for 24-48 hours.
Results: There were 139 patients comprising of 58 males and 81 females with average age of 80.25 years old. The mean monitoring time was 44.03 hours, and 13 patients (9.35%) were found to have AF and there was a higher prevalence in fema le patient (13.58%).
Conclusion: In this study, AF was not an uncommon cause of ischemic stroke in patients 70 years old or older, especially female patients. Holter monitoring will likely be considered in detecting AF in similar groups.
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