지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
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Background: Detection of atrial fibrillation (AF), either permanent or paroxysmal, is important in stroke patients because its
presence requires life-long anticoagulation for prevention of recurrent stroke. The aim of this study was to investigate the effect
of continuous electrocardiography (ECG) monitoring in the stroke unit (SU) for the detection of AF. Methods: Subjects enrolled
for this study were the patients who had admitted due to acute ischemic stroke before and after operation of the SU. All patients
were monitored by continuous ECG during their stay in the SU. The frequency of AF, which were documented at admission and
detected during their hospitalization, was compared in them. Results: Total 937 patients had admitted to the general ward
(GW) before the SU opened and 1605 patients to the GW or SU after the SU opened. Among patients admitted after the SU opened,
1074 patients (66.9%) were stayed in the SU during their hospitalization (mean 4.4 days). AF was found in 144 patients (15.4%)
among those admitted before the SU opened and in 281 (17.5%) among those admitted after the SU. The frequency of AF documented
at admission was not different between the groups (14.4% in the before SU, 15.1% in the after SU, <0.05). The
frequency of newly detected AF (3.8%) among patients who admitted to the SU was significantly higher than those admitted to
the GW before (1.1%) or after the SU opened (0.6%)(P<0.001). Conclusion: The detection rate of AF in acute ischemic stroke
patients has been increased significantly by continuous ECG monitoring in the SU. (Korean Journal of Stroke 2007;9:37-41)
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