May is Stroke Awareness Month

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Inform your secondary stroke prevention strategies.

One in four stroke survivors will experience another stroke within five years.1 Are you doing everything you can to find risk factors that could lead to another ischemic stroke in your patients?

  • Atrial fibrillation (AF) was found in 30% of patients with cryptogenic stroke up to three years post-stroke.2
  • AF was found in 12.1% of large- and small-vessel stroke patients at 12 months post-stroke.3
  • 45.5% of first recurrent strokes have a different subtype than the index stroke.4

AF is a major risk factor for stroke. AF detection matters.

Find AF. Treat AF. Prevent stroke.

The use of prolonged cardiac monitoring (PCM) has a potential impact on secondary stroke prevention, as patients with cryptogenic stroke/TIA undergoing PCM compared to conventional cardiac monitoring show5:

  • 2.5 times increased incidence of AF detection.
  • 2.1 times increased incidence of anticoagulant initiation.
  • 55% decreased risk of recurrent stroke.

Interested in the top 10 things to know about stroke prevention?

LINQ™ family of ICMs. Accuracy matters.

Patients with a LINQ insertable cardiac monitor (ICM) experienced fewer secondary strokes two years following a cryptogenic stroke.6

The LINQ family of ICMs (Reveal LINQ™ ICM and LINQ II™ ICM) detect asymptomatic AF while tracking daily AF burden and ventricular rates in stroke patients7 and may enable subsequent medical decisions and long-term management of AF.2,8 They also allow for higher diagnostic yield and better patient compliance compared to external monitoring in stroke patients.2,7,8

Learn more about LINQ ICMs here.

References

1

Mohan KM, Wolfe CDA, Rudd AG, Heuschmann PU, Kolominsky-Rabas PL, Grieve AP. Risk and cumulative risk of stroke recurrence: a systematic review and meta-analysis. Stroke. May 2011;42(5):1489-1494.

2

Sanna T, Diener HC, Passman RS, et al. Cryptogenic Stroke and Underlying Atrial Fibrillation (CRYSTAL AF). N Engl J Med. June 26, 2014;370(26):2478-2486.

3

Bernstein RA, Kamel H, Granger CB, et al. Effect of Long-term Continuous Cardiac Monitoring vs Usual Care on Detection of Atrial Fibrillation in Patients With Stroke Attributed to Large- or Small-Vessel Disease: The STROKE-AF Randomized Clinical Trial. JAMA. June 1, 2021;325(21):2169-2177.

4

Hillen T, Coshall C, Tilling K, et al. Cause of stroke recurrence is multifactorial: patterns, risk factors, and outcomes of stroke recurrence in the South London Stroke Register. Stroke. June 2003;34(6):1457-1463.

5

Tsivgoulis G, Katsanos AH, Mac Grory B, et al. Prolonged Cardiac Rhythm Monitoring and Secondary Stroke Prevention in Patients With Cryptogenic Cerebral Ischemia. Stroke. August 2019;50(8):2175-2180.

6

Triantafyllou S, Katsanos AH, Dilaveris P, et al. Implantable Cardiac Monitoring in the Secondary Prevention of Cryptogenic Stroke. Ann Neurol. November 2020;88(5):946-955.

7

Sawyer LM, Witte KK, Reynolds M, et al. Cost-effectiveness of an insertable cardiac monitor to detect atrial fibrillation in patients with cryptogenic stroke. J Comp Eff Res. February 2021;10(2):127-141.

8

Andrade JG, Yao RRJ, Deyell MW, et al. Clinical assessment of AF pattern is poorly correlated with AF burden and post ablation outcomes: A CIRCA-DOSE sub-study. J Electrocardiol. May-June 2020;60:159-164.