The impact of early detection of atrial fibrillation on stroke outcomes

Early detection of atrial fibrillation (AF) before an AF-related stroke potentially allows for prevention, but the best methods are uncertain. Population screening trials have demonstrated the ability to increase detection in older individuals by systematic screening. The subset of patients with implantable cardiac rhythm management devices are at particular risk. Remote monitoring has substantially reduced the time to detection. Although primary prevention of stroke is a priority, detection in patients with cryptogenic stroke represents another opportunity for therapeutic intervention. Evidence that early detection actually leads to improved stroke outcomes is still being gathered.