Value of HAVOC and Brown ESUS-AF scores for atrial fibrillation on implantable cardiac monitors after embolic stroke of undetermined source

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Grygorowicz, Claire | Benali, Karim | Serzian, Guillaume | Mouhat, Basile | Duloquin, Gauthier | Pommier, Thibaut | Didier, Romain | Laurent, Gabriel | Béjot, Yannick | Maille, Baptiste | Vuillier, Fabrice | Badoz, Marc | Guenancia, Charles

Edité par CCSD ; WB Saunders -

International audience. Up to 20 % of ischemic strokes are associated with overt atrial fibrillation (AF). Furthermore, silent AF was detected by an implantable cardiac monitor (ICM) in 1 in 3 cryptogenic strokes in the CRYSTAL AF study. An ESC position paper has suggested a HAVOC score ≥ 4 or a Brown ESUS-AF score ≥ 2 as criteria for ICM implantation after cryptogenic stroke, but neither of these criteria has been developed or validated in ICM populations. We assessed the performance of HAVOC and Brown ESUS-AF scores in a cohort of ICM patients implanted after embolic stroke of undetermined source (ESUS).

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