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Neurology 2015-10-13

Clinical Reasoning: An 87-year-old woman with left-sided numbness.

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Would it be prudent to complete long term cardiac monitoring (ie. 30 day) in a patient with a new typical appearing lacunar type thalamic infarct and history of hypertension?

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1 Answers
Mednet Member
Mednet Member
Neurology · Columbia University

This is a really good question. Until this year, I probably would have said that looking for AF in patients with a clear lacunar stroke is not needed. But the recent results from the STROKE AF trial (Bernstein et al., PMID 34061145.) suggest that long term monitors (implanted monitors, so a little d...