TY - JOUR T1 - Seven days of non-invasive cardiac monitoring early postischaemic stroke or TIA increases atrial fibrillation detection rate compared with current guideline-based practice JF - Evidence Based Medicine JO - Evid Based Med SP - 152 LP - 152 DO - 10.1136/eb-2013-101607 VL - 19 IS - 4 AU - Shelagh B Coutts AU - Philip M C Choi Y1 - 2014/08/01 UR - http://ebm.bmj.com/content/19/4/152.abstract N2 - Commentary on: Higgins P, Macfarlane PW, Dawson J, et al. Non-invasive cardiac event monitoring to detect atrial fibrillation after ischemic stroke: a randomized, controlled trial. Stroke 2013;44:2525–31.OpenUrlAbstract/FREE Full Text Atrial fibrillation (AF) is an established risk factor for stroke, and anticoagulation treatment is effective in reducing recurrent stroke risk. Guidelines recommend the use of clinical prediction tools to select patients with AF for anticoagulation therapy. It has long been recognised that paroxysmal AF (PAF) may pose a similar stroke risk to persistent AF, but the association between the duration of PAF and stroke risk remains uncertain. The best method to detect PAF has yet to be conclusively determined.1 ,2 This randomised controlled trial examines whether prolonged, non-invasive cardiac monitoring poststroke is superior to guideline-based standard treatment in PAF detection. The trial assessed the detection of AF in … ER -