Paroxysmal atrial fibrillation is frequently undetected by standard examination procedures in patients with acute ischaemic stroke. However, its detection is crucial for choosing appropriate secondary stroke prevention.
In this review article, the relation of particular forms of atrial fibrillation and ischaemic stroke is firstly characterized. All available means of heart rhythm monitoring are then compared.
Particular aspects of optimal monitoring strategy are assessed - the length of monitoring, the choice of monitoring method, the appropriate time interval of monitoring commencing after stroke event and the use of biomarkers in atrial fibrillation prediction after stroke.