Cerebral Infarction
Conditions
Keywords
stroke, ECG, telemetry, atrial fibrillation
Brief summary
The aim of the study is to show that an ambulatory ECG telemetry monitoring of some patients hospitalized for cerebral infarction increases the frequency of the diagnosis of atrial fibrillation, cause of their stroke, and reinforces the protection against recurrences.
Interventions
ECG telemetry (holter ECG) is a portable case - attached to the belt or around the neck - connected to 6 electrodes placed on the skin next to the heart. They are worn by patients during their stay in hospital
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients over 18 years old * Diagnosis of transient ischemic or cerebral accident * Absence of etiological orientation after the initial assessment (including at least cerebral MRI, angiography of the supra aortic trunks by CT or MRI, echocardiography with search for patent foramen ovale, standard biology) * Affiliated to a social security system. * Having given no opposition to participation in research
Exclusion criteria
* AF known or diagnosed during stay in USINV
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Diagnostic impact of outpatient ECG telemetry | 6 months | Percentage of patients hospitalized for cerebral infarction and with a diagnosis of atrial fibrillation allowed by the use of ambulatory ECG telemetry. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Identification of prognostic factors to identify de novo atrial fibrillation | 6 months | Retrospective evaluation of prognostic criteria (clinical data, biomarkers, abdominal MRI) in patients with a diagnosis of AF |
| Evaluate the therapeutic impact (prescription anticoagulant) at the end of hospitalisation | 6 months | Percentage of patients on anticoagulation at the end of hospitalisation |
| Evaluate the benefit on the recurrence rate of cerebral infarction after the exit of the service | 3 months | Percentage of IC recurrence in the department and within 3 months of the IC diagnosis |
Countries
France