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Brain & Heart Post-stroke atrial fibrillation and predictive scores

Table 2. Summary of methodology for post‑stroke atrial fibrillation detection
Score 12‑lead ECG and/or 24‑h Holter‑ECG performed 72‑h 2 or 3‑week Implantable AF
for any reason or based on clinical interview and/or non‑implantable non‑implantable ECG definition
clinical examination during a one‑year follow‑up ECG ECG monitoring monitoring
Bugnicourt* All patients enrolled Any
Sudacevschi* All patients enrolled >30 s
HAVOC All patients enrolled Any
AS5F All patients >30 s
enrolled
ACTEL All patients Any
enrolled
GRAZ AF 126 out of 150 24 out of 150 >30 s
patients (84%) patients (16%)
enrolled enrolled
DECRYPTORING All patients enrolled >30 s
PROACTIA All patients >30 s
enrolled
BROWN AF-ESUS 216 out of 296 80 out of 296 >30 s
patients (73%) patients (27%)
enrolled enrolled
AF-ESUS All patients enrolled Any
E AF All patients enrolled Any
2
AF detection rate 5.9% 5.7% 22.4% 22.4% ‑
(overall)
Note: *Unnamed scores indicated by the first author’s name.

Table 3. Summary of characteristics of post‑stroke atrial fibrillation detection predictive scores
Score Age National Institutes of Left atrial Left ventricle ejection fraction (LVEF) Premature Brain computed
Health Stroke Scale enlargement reduced or echo and/or laboratory signs atrial beats tomography (CT)
(NIHSS) scoring (LAE) of congestive heart failure (HF) characteristics
Bugnicourt* X X
Sudacevschi* X X X
HAVOC X X
AS5F X X
ACTEL X X
GRAZ AF X X X X
DECRYPTORING X X
PROACTIA X
BROWN AF-ESUS X X
AF-ESUS X X X
E AF X X X X
2
Notes: *Unnamed scores indicated by the first author’s name; X: Variable is included in the score.
5. Conclusion numerous clinical scores are available to predict SAF
detection, the selection of an appropriate score for clinical
Tailoring the priority of ECG monitoring for screening
SAF represents the cornerstone of diagnostic workup in practice remains challenging. Variables frequently included
patients suffering from CS or ESUS. This approach aids in predictive scores encompass age, LAE, premature atrial
in identifying the patients who require prolonged non- beats, and the distribution of cortical or subcortical lesions,
implantable or implantable ECG monitoring. Although as well as echocardiographic and/or laboratory signs of HF

Volume 1 Issue 2 (2023) 8 https://doi.org/10.36922/bh.0955