HRX 2024 AbstracX Library-Protocolized Atrial Fibrillation Monitoring in Stroke: Optimizing Practice Based on Data

Protocolized Atrial Fibrillation Monitoring in Stroke: Optimizing Practice Based on Data

Pdf Summary

The document details the DiVERT Stroke Study, led by Dr. Dhanunjaya R. Lakkireddy, which aims to improve post-stroke cardiac monitoring for atrial fibrillation (AF) detection. The study background highlights the inconsistency in cardiac monitoring practices across 13 stroke centers and the need for standardized protocols. Data from Phase I revealed significant differences in cardiac monitoring rates between Comprehensive Stroke Centers (CSC) and Non-Comprehensive Stroke Centers (NCSC), emphasizing gaps and nonadherence to guidelines in post-stroke care.<br /><br />In Phase I, CSCs employed more insertable cardiac monitors than NCSCs, resulting in higher AF detection rates among patients monitored, compared to those not monitored. This suggests that improved monitoring protocols could enhance patient outcomes, reduce recurrent stroke risks, and ensure better adherence to treatment guidelines.<br /><br />The objective moving forward is to develop a standardized, protocolized pathway for cardiac monitoring across all institutions, to be tested in DiVERT Phase II. This phase aims to evaluate clinical outcomes before and after implementing the standardized pathway, optimizing patient care and interdisciplinary workflow to better detect AF, lead to appropriate treatment adjustments, and potentially improve quality of life.<br /><br />The conclusion asserts that structured cardiac monitoring post-stroke could increase AF detection rates, facilitate timely anticoagulation, and improve adherence to medical guidelines, ultimately enhancing patient outcomes. The study involves various medical centers and investigators nationwide, collectively striving to refine post-stroke cardiac care practices.

Keywords

DiVERT Stroke Study

post-stroke cardiac monitoring

atrial fibrillation detection

standardized protocols

Comprehensive Stroke Centers

insertable cardiac monitors

Phase I and Phase II

recurrent stroke risks

interdisciplinary workflow

medical guidelines adherence