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Cardiac arrhythmia are frequently observed after stroke. They may on one hand be causative for the stroke mainly in case of atrial fibrillation but on the other hand present severe complications of the stroke. In addition, cardiac comorbidity as well as acute myocardial infarction are frequently found in acute stroke patients. Diagnostics to identify cardiac arrhythmia in the acute phase of stroke care thus have an important role not only for adjusting the correct secondary prevention but also to prevent cardiac complications potentially reducing morbidity and mortality.
The aim of the SAMBA-Study is to systematically assess the prevalence of higher grade arrhythmias after stroke using a standardized reading of 72h telemetric monitoring in the first days after stroke onset. In addition, it evaluates different strategies to identify paroxysmal atrial fibrillation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients on the Stroke Unit |
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| Measure | Description | Time Frame |
|---|---|---|
| Prevalence of high grade cardiac arrhythmia after stroke | 72 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Detection of paroxysmal atrial fibrillation by different diagnostic approaches | 72 hours | |
| Cerebral lesion distribution in patients with cardiac arrhythmia | 72 hours | |
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Inclusion Criteria:
Exclusion Criteria:
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Patients suffering from acute cerebral injury treated on a specialized Stroke Unit
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| Name | Affiliation | Role |
|---|---|---|
| Martin Köhrmann, MD | Universityhospital Erlangen; Dept. of Neurology | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Erlangen, Dept. of Neurology | Erlangen | Bavaria | 91054 | Germany |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22308240 | Result | Kallmunzer B, Breuer L, Hering C, Raaz-Schrauder D, Kollmar R, Huttner HB, Schwab S, Kohrmann M. A structured reading algorithm improves telemetric detection of atrial fibrillation after acute ischemic stroke. Stroke. 2012 Apr;43(4):994-9. doi: 10.1161/STROKEAHA.111.642199. Epub 2012 Feb 2. | |
| 22961962 | Derived |
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| ID | Term |
|---|---|
| D020521 | Stroke |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| Impact of arrhythmia on clinical outcome and mortality after 90 days |
| 90 days post stroke |
| Kallmunzer B, Breuer L, Kahl N, Bobinger T, Raaz-Schrauder D, Huttner HB, Schwab S, Kohrmann M. Serious cardiac arrhythmias after stroke: incidence, time course, and predictors--a systematic, prospective analysis. Stroke. 2012 Nov;43(11):2892-7. doi: 10.1161/STROKEAHA.112.664318. Epub 2012 Sep 6. |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |