Reprint of: Scientific statement from the French neurovascular and cardiac societies for improved detection of atrial fibrillation after ischaemic stroke and transient ischaemic attack - 28/11/24
on behalf of the
French Neurovascular Society
theFrench Society of Cardiology
Graphical abstract |
Abstract |
Atrial fibrillation (AF) is the primary cause of ischaemic stroke and transient ischaemic attack (TIA). AF is associated with a high risk of recurrence, which can be reduced using optimal prevention strategies, mainly anticoagulant therapy. The availability of effective prophylaxis justifies the need for a significant, coordinated and thorough transdisciplinary effort to screen for AF associated with stroke. A recent French national survey, initiated and supported by the Société française neurovasculaire (SFNV) and the Société française de cardiologie (SFC), revealed many shortcomings, such as the absence or inadequacy of telemetry equipment in more than half of stroke units, insufficient and highly variable access to monitoring tools, delays in performing screening tests, heterogeneous access to advanced or connected ambulatory monitoring techniques, and a lack of dedicated human resources. The present scientific document has been prepared on the initiative of the SFNV and the SFC with the aim of helping to address the current shortcomings and gaps, to promote efficient and cost-effective AF detection, and to improve and, where possible, homogenize the quality of practice in AF screening among stroke units and outpatient post-stroke care networks. The working group, composed of cardiologists and vascular neurologists who are experts in the field and are nominated by their peers, reviewed the literature to propose statements, which were discussed in successive cycles, and maintained, either by consensus or by vote, as appropriate. The text was then submitted to the SFNV and SFC board members for review. This scientific statement document argues for the widespread development of patient pathways to enable the most efficient AF screening after stroke. This assessment should be carried out by a multidisciplinary team, including expert cardiologists and vascular neurologists.
Le texte complet de cet article est disponible en PDF.Keywords : Atrial fibrillation, Stroke, Atrial fibrillation screening, Atrial cardiomyopathy, Cryptogenic stroke
Plan
☆ | Previously published article: N. Gaillard, J.-C. Deharo, L. Suissa, P. Defaye, I. Sibon, C. Leclercq, S. Alamowitch, C. Guidoux, A. Cohen, on behalf of the French Neurovascular Society French Society of Cardiology. Scientific statement from the French neurovascular and cardiac societies for improved detection of atrial fibrillation after ischaemic stroke and transient ischaemic attack. Archives of Cardiovascular Diseases 2024;117(8–9):542–57. Reproduced with permission of the publisher. Do not cite the present publication in Revue neurologique but the original publication as in: Arch Cardiovasc Dis 2024;117(8–9):542–57. |
☆☆ | X post (Tweet): New scientific statement from the French neurovascular and cardiac societies emphasizes the importance of atrial fibrillation detection post ischaemic stroke & TIA. Critical step towards structured evaluation after stroke. #AtrialFibrillation #Stroke #TIA #Healthcare. |
☆☆☆ | The first and second authors, as well as the penultimate and last authors, contributed equally to this article. |
Vol 180 - N° 10
P. 1000-1020 - décembre 2024 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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