Table of Contents
ISRN Stroke
Volume 2014, Article ID 208195, 6 pages
Research Article

Screening of Paroxysmal Atrial Fibrillation after Ischemic Stroke: 48-Hour Holter Monitoring versus Prolonged Intermittent ECG Recording

1Department of Internal Medicine, Skaraborgs Sjukhus Skövde, 54152 Skövde, Sweden
2Department of Research and Development, Skaraborgs Sjukhus Skövde, 54152 Skövde, Sweden
3Department of Internal Medicine, Skaraborgs Sjukhus Lidköping, 53185 Lidköping, Sweden
4University of Gothenburg, P.O. Box 100, 40530 Gothenburg, Sweden

Received 6 December 2013; Accepted 9 January 2014; Published 4 March 2014

Academic Editors: E. Berge and M. Paciaroni

Copyright © 2014 Gustav Orrsjö et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Aims. Screening of paroxysmal atrial fibrillation (PAF) after ischemic stroke and TIA is important. The ideal method is not known and studies of intermittent screening methods in particular are lacking. In this retrospective study we compared a shorter continuous screening method with an intermittent screening method. Methods. Since early 2011 our stroke unit has used two different methods of screening: either a 48-hour continuous screening with Holter monitor or a 21-day twice daily intermittent screening with a hand-held ECG recorder. Through the Swedish National Stroke Registry and medical records reviewing all screening episodes between 2011-02-01 and 2013-01-31 were collected and analysed.   Results. Of 386 screenings, 26 screenings were excluded leaving 360 screenings for the final analysis of which 114 screenings were made with hand-held ECG recorder and 246 with Holter monitoring. No significant difference between the groups concerning basic characteristics was observed. In the hand-held ECG recorder group a total of 13 PAF screenings (11.4%) were detected compared with 7 (2,8%) in the Holter group ( ). Conclusions. A prolonged intermittent screening is a better method than a shorter continuous screening in terms of detecting PAF after ischemic stroke and TIA.