{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T18:26:44Z","timestamp":1784053604482,"version":"3.55.0"},"reference-count":57,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T00:00:00Z","timestamp":1765584000000},"content-version":"vor","delay-in-days":1018,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,3,1]],"date-time":"2023-03-01T00:00:00Z","timestamp":1677628800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001826","name":"ZonMw","doi-asserted-by":"publisher","award":["80-83910-98-13046"],"award-info":[{"award-number":["80-83910-98-13046"]}],"id":[{"id":"10.13039\/501100001826","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001826","name":"ZonMw","doi-asserted-by":"publisher","award":["80-83910-98-13046"],"award-info":[{"award-number":["80-83910-98-13046"]}],"id":[{"id":"10.13039\/501100001826","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Current European Stroke Organisation (ESO) guidelines recommend &amp;gt;48\u2009h of continuous electrocardiographic monitoring for atrial fibrillation (AF) in all patients with ischemic stroke or transient ischemic attack (TIA) with undetermined origin. We assessed the yield of the guideline-recommended monitoring for AF, as well as of extending monitoring up to 14\u2009days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and methods:<\/jats:title>\n                    <jats:p>We included consecutive patients with stroke\/TIA without AF in an academic hospital in The Netherlands. We reported AF incidence and number needed to screen (NNS) in the overall sample after 48\u2009h and 14\u2009days of Holter monitoring.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Among 379 patients with median age 63\u2009years (IQR 55\u201373), 58% male, Holter monitoring detected 10 cases of incident AF during a median of 13 (IQR 12\u201314) days of monitoring. Seven AF cases were detected within the first 48 hours (incidence 1.85%, 95% CI 0.74\u20133.81; NNS 54), and three additional AF cases were recorded among the 362 patients with &amp;gt;48\u2009h of monitoring and without AF\u2009\u2a7d\u200948\u2009h (incidence 0.83%, 95% CI: 0.17\u20132.42; NNS 121). All AF cases were detected within the first 7\u2009days of monitoring. Our sample was subject to sampling bias favoring inclusion of participants with low AF risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Strengths of this work were the broad inclusion criteria as recommended by ESO guidelines, and high Holter adherence among participants. The analysis was limited by inclusion of lower-risk cases and a relatively small sample size.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In low-risk patients with recent stroke or TIA, ESO guideline-recommended screening for AF resulted in a low AF yield, with limited additional value of monitoring up to 14\u2009days. Our results underline the need for a personalized approach in determining a patient\u2019s optimum duration for post-stroke non-invasive ambulatory monitoring.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23969873221146027","type":"journal-article","created":{"date-parts":[[2022,12,24]],"date-time":"2022-12-24T00:25:55Z","timestamp":1671841555000},"page":"157-167","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["14-day Holter monitoring for atrial fibrillation after ischemic stroke: The yield of guideline-recommended monitoring duration"],"prefix":"10.1093","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0430-1583","authenticated-orcid":false,"given":"Jelle CL","family":"Himmelreich","sequence":"first","affiliation":[{"name":"Department of General Practice, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands 1"},{"name":"Amsterdam Public Health, Personalized Medicine, Amsterdam, The Netherlands 2"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wim AM","family":"Lucassen","sequence":"additional","affiliation":[{"name":"Department of General Practice, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands 1"},{"name":"Amsterdam Public Health, Personalized Medicine, Amsterdam, The Netherlands 2"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan M","family":"Coutinho","sequence":"additional","affiliation":[{"name":"Department of Neurology, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands 3"},{"name":"Amsterdam Neuroscience, Neurovascular Disorders, Amsterdam, The Netherlands 4"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ralf E","family":"Harskamp","sequence":"additional","affiliation":[{"name":"Department of General Practice, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands 1"},{"name":"Amsterdam Public Health, Personalized Medicine, Amsterdam, The Netherlands 2"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joris R","family":"de Groot","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands 5"},{"name":"Amsterdam Cardiovascular Sciences, Heart Failure & Arrhythmias, Amsterdam, The Netherlands 6"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henk","family":"CPM van Weert","sequence":"additional","affiliation":[{"name":"Department of General Practice, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands 1"},{"name":"Amsterdam Public Health, Personalized Medicine, Amsterdam, The Netherlands 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