% 0期刊文章% n .盖拉德% % b . Vilotijevic % s•德尔图尔一个A . Hornych % s牧杖% A .分类帐% R·弗兰克%一个y参孙% T检测阵发性心房纤颤与transtelephonic TIA或中风患者的心电图R 10.1212 / WNL % D 2010%。0 b013e3181e0427e % 首页J神经病学% P 1666 - 1670 V % 74% 21% N X背景:阵发性心房纤颤(PAF)参谋长可能仍诊断中风后,建议通过长时间的心电图监测。在这里,我们报告的敏感性transtelephonic心电图监测(TTM)检测拥堵的最近的一次中风后的病人或TIA和负24小时霍尔特。方法:我们分析数据从98年开始连续TTM和noncardioembolic吐司中风患者(n = 78)或TIA (n = 20)。大多数人不明原因引起的事件(82%)。病人开始TTM后0.8个月(四分位范围0.4 - -2.5)索引事件和随机记录心电图每天1月。单变量和多变量分析运行识别空军预测。结果:17拥堵事件中发现9.2%(9/98)的患者。估计拥堵持续时间从4到72小时不等。两个因素确定:过早心房异位搏动(超过100)24小时日常霍尔特(优势比[或]= 11.0;95%可信区间[CI] 1.9 -62; p = 0.007) and nonlacunar anterior circulation DWI hypersignals (OR = 9.9; 95% CI 1.1–90.6; p = 0.04). The PAF detection rate varied from 42.6% for patients meeting both criteria to 0% for patients with neither of them. Conclusions: Transtelephonic EKG monitoring increases detection rate of paroxysmal atrial fibrillation in stroke and TIA patients whose 24-hour Holter result was negative, especially if they had frequent premature atrial ectopic beats, recent anterior circulation infarct on MRI, or both. AEB=atrial ectopic beat; CI=confidence interval; DWI=diffusion-weighted imaging; FLAIR=fluid-attenuated inversion recovery; IQR=interquartile range; MRA=magnetic resonance angiography; OR=odds ratio; NPV=negative predictive value; PAF=paroxysmal atrial fibrillation; PPV=positive predictive value; ROC=receiver operating characteristics; TEE=transesophageal echocardiography; TTE=transthoracic echocardiography; TTEKG=transtelephonic electrocardiogram; TTM=transtelephonic EKG monitoring. %U //www.ez-admanager.com/content/neurology/74/21/1666.full.pdf