On-Demand: A Diagnostic Pathway Post Cryptogenic Stroke-Webinar Recording

Video Transcription

Video Summary

In this video, Dr. Najib Chalfoon discusses the importance of detecting atrial fibrillation in stroke patients, specifically focusing on cryptogenic stroke. He describes the diagnostic pathway and the use of intracardiac monitoring (ICM) to detect atrial fibrillation in these patients. The video emphasizes the need for a multidisciplinary approach to patient care, involving neurology, cardiology, emergency department, and hospitalists.<br /><br />Dr. Chalfoon shares the results of the CRYSTAL-AF trial, which showed that longer monitoring using ICM led to increased detection of atrial fibrillation in post-stroke patients. He also discusses various monitoring options available, such as holter monitors, event monitors, patch monitors, and implantable loop monitors (ILMs). He highlights the benefits of ILMs for long-term monitoring and the importance of educating patients about the monitoring process and associated costs.<br /><br />The video also covers the cost-effectiveness of ICM compared to standard monitoring methods. Dr. Chalfoon presents a cost analysis study that compared the upfront implantation of ILMs with the use of short-term monitoring followed by ILM implantation. The study found that upfront ILM implantation was cost-effective and saved both healthcare costs and patient out-of-pocket expenses.<br /><br />Overall, the video provides insights into the importance of detecting atrial fibrillation in post-stroke patients and highlights the benefits of implementing a standardized diagnostic pathway using ICMs.

Keywords

atrial fibrillation

stroke patients

cryptogenic stroke

intracardiac monitoring

multidisciplinary approach

CRYSTAL-AF trial

monitoring options

implantable loop monitors

cost-effectiveness