{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T01:39:12Z","timestamp":1791509952830,"version":"4.3.4"},"reference-count":34,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2026,7,5]],"date-time":"2026-07-05T00:00:00Z","timestamp":1783209600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,5]],"date-time":"2026-07-05T00:00:00Z","timestamp":1783209600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Kathleen and Dr. Henry Barnett Chair in Stroke Research"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["International Journal of Stroke"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:p>Prolonged cardiac monitoring has made atrial fibrillation (AF) an increasingly common diagnosis after ischemic stroke. Applied to all patients with ischemic stroke, prolonged cardiac monitoring would result in over a million new AF diagnoses per year worldwide. Almost 10\u2009years after the conceptual inception of AF detected after stroke (AFDAS), several patterns are now consistent across studies. AFDAS is a distinct, mechanistically heterogeneous entity that differs from AF known before stroke in its risk-factor profile, cardiac comorbidity, and its lower rate of ischemic stroke recurrence. Its detection is determined primarily by the monitoring method and increases with earlier and longer-duration monitoring. AF identified on a standard electrocardiogram behaves as a high-burden arrhythmia, resembling AF known before stroke, and should be distinguished from the low-burden AF detected by prolonged monitoring. Important questions remain unresolved. It is unproven that detecting more AF, or detecting it earlier, reduces recurrent ischemic stroke. The low-burden arrhythmia that monitoring increasingly identifies appears to carry a lower embolic risk than the high-burden AF for which anticoagulation was established. Whether patients with low-burden, monitor-detected AFDAS derive net benefit from anticoagulation, the contribution of neurogenic mechanisms, and the thresholds of AF burden that should guide treatment are undefined. Future trials should be powered for recurrent stroke as the primary endpoint.<\/jats:p>","DOI":"10.1177\/17474930261465951","type":"journal-article","created":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T02:41:44Z","timestamp":1783305704000},"page":"895-901","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Atrial fibrillation detected after stroke: Recent advances and future directions"],"prefix":"10.1177","volume":"21","author":[{"given":"Lussiana","family":"Folleco-Insuasty","sequence":"first","affiliation":[{"name":"Neurology Unit, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogot\u00e1, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6811-298X","authenticated-orcid":false,"given":"Luis Fernando","family":"Roa-Wandurraga","sequence":"additional","affiliation":[{"name":"Neurology Unit, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogot\u00e1, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federico","family":"Liberman","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana","family":"Ayan","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rodrigo","family":"Bagur","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada"},{"name":"Heart and Brain Laboratory, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada"},{"name":"London Health Sciences Centre Research Institute, London, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luciano A","family":"Sposato","sequence":"additional","affiliation":[{"name":"Heart and Brain Laboratory, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada"},{"name":"Department of Clinical Neurological Sciences, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada"},{"name":"Robarts Research Institute, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada"},{"name":"London Health Sciences Centre Research Institute, London, ON, Canada"},{"name":"Department of Clinical Neurological Sciences, London Health Sciences Centre, University Hospital, Western University, London, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,5]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(23)00326-5"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.121.034777"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000209535"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(15)70027-X"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/WCO.0000000000000410"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000213426"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.123.043672"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/23969873241300888"},{"key":"e_1_3_2_10_2","first-page":"910","article-title":"Prevalence and predictors of atrial fibrillation detected after stroke or transient ischemic attack: a comprehensive meta-analysis","volume":"21","author":"Ababneh GE","year":"2025","unstructured":"Ababneh GE, Yassin A, Allahham M, et al. 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