Abstract
Background AF is associated with approximately 10% of all ischemic strokes and with increased mortality. Puposes To compare the diagnostic yield of AF between TIA patients who received cardiac monitoring with external loop monitor and patients who received cardiac monitoring with Wireless TeleECG Bluetooth Recording devices. Methods A retrospective chart review was conducted on 1012 TIA patients from January 2006 to December 2010. Adjusted stepwise logistic regression analysis was performed to compare the diagnosis of AF between the two devices while accounting for covariates. Results Patients who were monitored with Wireless TeleECG Bluetooth Recording were over 9.0 times more likely to be diagnosed with AF than patients monitored with external loop monitor (OR = 9.15; 95%CI = 6.18–13.56). Other independent predictors of AF were age (OR = 1.052; 95%CI = 1.03–1.07), MBI (OR = 1.037; 95%CI = 1.01–1.07), and history of heart disease (OR = 1.77; 95%CI = 1.17–2.69). Interestingly, neither diabetes nor hypertension was significant predictors of AF in our sample. Conclusion Wireless TeleECG Bluetooth Recording are far more superior than external loop monitors with regard to diagnosis of AF. Thus, the use of Wireless TeleECG Bluetooth Recording devices could result in timely treatment of AF, which could subsequently reduce the risk of stroke. Further research within the context of clinical trials is however needed.
Published Version
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