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

Tran, R.T., Rankin, A.J. , Abdul-Rahim, A.H. , Lip, G.Y.H., Rankin, A.C. and Lees, K.R. (2016) Short runs of atrial arrhythmia and stroke risk: a European-wide online survey among stroke physicians and cardiologists. Journal of the Royal College of Physicians of Edinburgh, 46(2), pp. 87-92. (doi: 10.4997/JRCPE.2016.204) (PMID:27929570)

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Publisher's URL: http://www.rcpe.ac.uk/journal/short-runs-atrial-arrhythmia-and-stroke-risk-european-wide-online-survey-among-stroke

Abstract

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. 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. 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.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Abdul-Rahim, Dr Azmil and Rankin, Dr Alastair and Lees, Professor Kennedy
Authors: Tran, R.T., Rankin, A.J., Abdul-Rahim, A.H., Lip, G.Y.H., Rankin, A.C., and Lees, K.R.
College/School:College of Medical Veterinary and Life Sciences > Institute of Neuroscience and Psychology
College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
College of Medical Veterinary and Life Sciences > Institute of Cardiovascular and Medical Sciences
Journal Name:Journal of the Royal College of Physicians of Edinburgh
Publisher:Royal College of Physicians of Edinburgh
ISSN:1478-2715
ISSN (Online):2042-8189
Copyright Holders:Copyright © 2016 Royal College of Physicians of Edinburgh
First Published:First published in Journal of the Royal College of Physicians of Edinburgh 46(2):87-92
Publisher Policy:Reproduced in accordance with the copyright policy of the publisher

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