Abstract

Background: Ischemic stroke can be both a cause and a consequence of arrhythmia. Detecting arrhythmias, particularly paroxysmal atrial fibrillation, plays a crucial role in diagnosing and treating ischemic stroke. Therefore, we conducted this study to examine certain clinical and paraclinical features and to investigate the relationship between patients with acute ischemic stroke and the detection rate of paroxysmal atrial fibrillation as well as other arrhythmias, using the Cardea Solo ECG patch.

Methods: The study included 40 patients with acute ischemic stroke at Hue Central Hospital from December 2022 to December 2023. All patients underwent 7-day Holter monitoring with Cardea Solo Patch. Clinical and paraclinical data were recorded and analyzed using SPSS statistical software.

Results: The prevalence of patients with paroxysmal atrial fibrillation is 15%, supraventricular arrhythmias (such as atrial tachycardia and paroxysmal supraventricular tachycardia) account for 37.5%, ventricular arrhythmias (including ventricular premature beats and ventricular tachycardia) are 7.5%, and 2.5% have sinus arrest. Factors such as coronary artery disease, heart failure, age over 60, and multi-focal lesions are significantly associated with the detection rate of paroxysmal atrial fibrillation.

Conclusion: Arrhythmias, especially supraventricular arrhythmias and paroxysmal atrial fibrillation, are relatively common in patients with acute ischemic stroke. Using a 7-day Holter monitor (Cardea Solo patch) helps in early detection of abnormal heart rhythms, leading to appropriate treatment and prognosis for patients.