Short runs of atrial arrhythmia and stroke risk: a European-wide online survey among stroke physicians and cardiologists

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Tran, R.T. ; Rankin, A.J. ; Abdul-Rahim, A.H. ; Lip, G.Y.H. ; Rankin, A.C. ; Lees, K.R. (2016)
  • Publisher: Royal College of Physicians of Edinburgh
  • Related identifiers: doi: 10.4997/JRCPE.2016.204
  • Subject:
    mesheuropmc: cardiovascular diseases

Methods: An online survey of cardiologists and stroke physicians was carried out to assess current management of patients with short runs of atrial arrhythmia within Europe.\ud \ud Results: Respondents included 311 clinicians from 32 countries. To diagnose atrial fibrillation, 80% accepted a single 12-lead ECG and 36% accepted a single run of < 30 seconds on ambulatory monitoring. Stroke physicians were twice as likely to accept < 30 seconds of arrhythmia as being diagnostic of atrial fibrillation (OR 2.43, 95% CI 1.19–4.98). They were also more likely to advocate anticoagulation for hypothetical patients with lower risk; OR 1.9 (95% CI 1.0–3.5) for a patient with CHA2DS2-VASc = 2.\ud \ud Conclusion: Short runs of atrial fibrillation create a dilemma for physicians across Europe. Stroke physicians and cardiologists differ in their diagnosis and management of these patients.
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