Arrhythmias & electrophysiology

Reducing inconsistencies of post-stroke cardiac monitoring with standardized, guideline-oriented neuro-cardiac pathways

Heart RhythmPublished interventional, non-randomized, multicenter cohort study

Authors' conclusion

Implementing a post-stroke GO-NCP significantly reduced previously identified inconsistent cardiac monitoring practices by increasing in-hospital cardiology consultations, antithrombotic prescriptions, and cardiac monitoring for AF, and significantly decreasing outpatient LTFU.

Study context

Population
Patients with cryptogenic, large-vessel disease, or small-vessel disease stroke in the inpatient hospital setting
Comparison
The retrospective phase I was compared with the prospective phase II
Methodological detailsretrospective phase I compared with prospective phase II
  • Retrospective phase I compared with prospective phase II

Primary result

As reported in the abstract

Inpatient cardiology consultations

Further findings

Cardiac monitoring

Long-term monitoring with insertable cardiac monitors

AF detection

Anticoagulation prescriptions

LTFU in clinic

Long-term monitoring with insertable cardiac monitors — increase
4.5-fold
  • Cardiac monitoring: P = .002
  • Long-term monitoring with insertable cardiac monitors: P < .001
  • Atrial fibrillation (AF) detection: P = .489
  • Anticoagulation prescriptions: P < .001
  • Lost-to-follow-up (LTFU) in clinic: P < .001

Original publication

Reducing inconsistencies of post-stroke cardiac monitoring with standardized, guideline-oriented neuro-cardiac pathways. Heart Rhythm. Published 18 July 2026. doi:10.1016/j.hrthm.2026.07.021

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