Transient ischemic attack electrocardiogram: Difference between revisions

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{{Transient ischemic attack}}
{{Transient ischemic attack}}
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==Overview==
==Overview==
An [[electrocardiogram]] (ECG) may show atrial fibrillation, a common cause of TIAs, or other arrhythmias that may cause embolisation to the brain.
Cardiac monitoring by ECG may be useful to rule out underlying atrial fibrillation as source of embolism in patients with TIA.<ref name="pmid16912978">{{cite journal| author=Johnston SC, Nguyen-Huynh MN, Schwarz ME, Fuller K, Williams CE, Josephson SA et al.| title=National Stroke Association guidelines for the management of transient ischemic attacks. | journal=Ann Neurol | year= 2006 | volume= 60 | issue= 3 | pages= 301-13 | pmid=16912978 | doi=10.1002/ana.20942 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16912978  }} </ref><ref name="pmid27375548">{{cite journal| author=Yakhkind A, McTaggart RA, Jayaraman MV, Siket MS, Silver B, Yaghi S| title=Minor Stroke and Transient Ischemic Attack: Research and Practice. | journal=Front Neurol | year= 2016 | volume= 7 | issue=  | pages= 86 | pmid=27375548 | doi=10.3389/fneur.2016.00086 | pmc=4901037 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27375548  }} </ref><ref name="pmid24685765">{{cite journal| author=Fernandez V, Béjot Y, Zeller M, Hamblin J, Daubail B, Jacquin A et al.| title=Silent atrial fibrillation after ischemic stroke or transient ischemic attack: interest of continuous ECG monitoring. | journal=Eur Neurol | year= 2014 | volume= 71 | issue= 5-6 | pages= 313-8 | pmid=24685765 | doi=10.1159/000357561 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24685765  }} </ref><ref name="pmid15935384">{{cite journal| author=Christensen H, Fogh Christensen A, Boysen G| title=Abnormalities on ECG and telemetry predict stroke outcome at 3 months. | journal=J Neurol Sci | year= 2005 | volume= 234 | issue= 1-2 | pages= 99-103 | pmid=15935384 | doi=10.1016/j.jns.2005.03.039 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15935384  }} </ref><ref name="pmid20498434">{{cite journal| author=Gaillard N, Deltour S, Vilotijevic B, Hornych A, Crozier S, Leger A et al.| title=Detection of paroxysmal atrial fibrillation with transtelephonic EKG in TIA or stroke patients. | journal=Neurology | year= 2010 | volume= 74 | issue= 21 | pages= 1666-70 | pmid=20498434 | doi=10.1212/WNL.0b013e3181e0427e | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20498434  }} </ref><ref name="pmid27403220">{{cite journal| author=Scheef B, Al-Khaled M| title=Atrial Fibrillation in Patients with Transient Ischemic Attack in Accordance with the Tissue-Based Definition. | journal=J Vasc Interv Neurol | year= 2016 | volume= 9 | issue= 1 | pages= 23-7 | pmid=27403220 | doi= | pmc=4925762 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27403220  }} </ref>
 
==Electrocardiogram==
Cardiac monitoring by ECG may be useful to rule out underlying atrial fibrillation as source of embolism in patients with TIA. 12 lead electrocardiogram is indicated in all patients presenting with symptoms of TIA. A thorough evaluation by 24 hour holter monitoring may be indicated in patients without evidence of any cause of TIA on initial brain imaging or electrocardiogram.<ref name="pmid16912978">{{cite journal| author=Johnston SC, Nguyen-Huynh MN, Schwarz ME, Fuller K, Williams CE, Josephson SA et al.| title=National Stroke Association guidelines for the management of transient ischemic attacks. | journal=Ann Neurol | year= 2006 | volume= 60 | issue= 3 | pages= 301-13 | pmid=16912978 | doi=10.1002/ana.20942 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16912978  }} </ref><ref name="pmid27375548">{{cite journal| author=Yakhkind A, McTaggart RA, Jayaraman MV, Siket MS, Silver B, Yaghi S| title=Minor Stroke and Transient Ischemic Attack: Research and Practice. | journal=Front Neurol | year= 2016 | volume= 7 | issue=  | pages= 86 | pmid=27375548 | doi=10.3389/fneur.2016.00086 | pmc=4901037 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27375548  }} </ref><ref name="pmid24685765">{{cite journal| author=Fernandez V, Béjot Y, Zeller M, Hamblin J, Daubail B, Jacquin A et al.| title=Silent atrial fibrillation after ischemic stroke or transient ischemic attack: interest of continuous ECG monitoring. | journal=Eur Neurol | year= 2014 | volume= 71 | issue= 5-6 | pages= 313-8 | pmid=24685765 | doi=10.1159/000357561 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24685765  }} </ref><ref name="pmid15935384">{{cite journal| author=Christensen H, Fogh Christensen A, Boysen G| title=Abnormalities on ECG and telemetry predict stroke outcome at 3 months. | journal=J Neurol Sci | year= 2005 | volume= 234 | issue= 1-2 | pages= 99-103 | pmid=15935384 | doi=10.1016/j.jns.2005.03.039 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15935384  }} </ref><ref name="pmid20498434">{{cite journal| author=Gaillard N, Deltour S, Vilotijevic B, Hornych A, Crozier S, Leger A et al.| title=Detection of paroxysmal atrial fibrillation with transtelephonic EKG in TIA or stroke patients. | journal=Neurology | year= 2010 | volume= 74 | issue= 21 | pages= 1666-70 | pmid=20498434 | doi=10.1212/WNL.0b013e3181e0427e | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20498434  }} </ref><ref name="pmid27403220">{{cite journal| author=Scheef B, Al-Khaled M| title=Atrial Fibrillation in Patients with Transient Ischemic Attack in Accordance with the Tissue-Based Definition. | journal=J Vasc Interv Neurol | year= 2016 | volume= 9 | issue= 1 | pages= 23-7 | pmid=27403220 | doi= | pmc=4925762 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27403220  }} </ref>
 
==References==
==References==
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[[Category:Disease]]
[[Category:Disease]]
[[Category:Emergency medicine]]
[[Category:Emergency medicine]]
[[Category:Primary care]]
[[Category:Needs content]]
[[Category:Needs content]]

Latest revision as of 00:29, 30 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Aysha Anwar, M.B.B.S[2]

Overview

Cardiac monitoring by ECG may be useful to rule out underlying atrial fibrillation as source of embolism in patients with TIA.[1][2][3][4][5][6]

Electrocardiogram

Cardiac monitoring by ECG may be useful to rule out underlying atrial fibrillation as source of embolism in patients with TIA. 12 lead electrocardiogram is indicated in all patients presenting with symptoms of TIA. A thorough evaluation by 24 hour holter monitoring may be indicated in patients without evidence of any cause of TIA on initial brain imaging or electrocardiogram.[1][2][3][4][5][6]

References

  1. 1.0 1.1 Johnston SC, Nguyen-Huynh MN, Schwarz ME, Fuller K, Williams CE, Josephson SA; et al. (2006). "National Stroke Association guidelines for the management of transient ischemic attacks". Ann Neurol. 60 (3): 301–13. doi:10.1002/ana.20942. PMID 16912978.
  2. 2.0 2.1 Yakhkind A, McTaggart RA, Jayaraman MV, Siket MS, Silver B, Yaghi S (2016). "Minor Stroke and Transient Ischemic Attack: Research and Practice". Front Neurol. 7: 86. doi:10.3389/fneur.2016.00086. PMC 4901037. PMID 27375548.
  3. 3.0 3.1 Fernandez V, Béjot Y, Zeller M, Hamblin J, Daubail B, Jacquin A; et al. (2014). "Silent atrial fibrillation after ischemic stroke or transient ischemic attack: interest of continuous ECG monitoring". Eur Neurol. 71 (5–6): 313–8. doi:10.1159/000357561. PMID 24685765.
  4. 4.0 4.1 Christensen H, Fogh Christensen A, Boysen G (2005). "Abnormalities on ECG and telemetry predict stroke outcome at 3 months". J Neurol Sci. 234 (1–2): 99–103. doi:10.1016/j.jns.2005.03.039. PMID 15935384.
  5. 5.0 5.1 Gaillard N, Deltour S, Vilotijevic B, Hornych A, Crozier S, Leger A; et al. (2010). "Detection of paroxysmal atrial fibrillation with transtelephonic EKG in TIA or stroke patients". Neurology. 74 (21): 1666–70. doi:10.1212/WNL.0b013e3181e0427e. PMID 20498434.
  6. 6.0 6.1 Scheef B, Al-Khaled M (2016). "Atrial Fibrillation in Patients with Transient Ischemic Attack in Accordance with the Tissue-Based Definition". J Vasc Interv Neurol. 9 (1): 23–7. PMC 4925762. PMID 27403220.

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