No Placebo Group
Every participant receives an active treatment — no one gets a placebo.
Ready to participate?
Review the details below, then apply to join this clinical trial.
At a Glance
Age
50 – 89
Sex
Any
Study type
Interventional
Purpose
Diagnostic
Participants needed
100 (estimated)
Sponsor
Parc de Salut Mar · Other
Who this trial is looking for
This trial is looking for patients who have had a stroke or a mini-stroke and may have invisible heart rhythm problems. Participants will have heart monitors to help detect these issues early.
Are You a Good Fit for This Trial?
You may be able to join if
I have had a stroke or mini-stroke since January 2022.
I am between 50 and 89 years old.
My stroke is of an unknown cause according to certain medical criteria.
I have normal results from heart ultrasound tests.
I have not had atrial fibrillation detected during a 48-hour heart monitor.
I have normal findings from ultrasound of the arteries in my neck.
You may not be able to join if
I have had a bleeding stroke before.
I have been diagnosed with atrial fibrillation or flutter in the past.
I cannot take blood thinners for any reason.
I have had major surgery or heart events in the past month.
I have severe heart problems.
I am expected to live less than a year.
My stroke was very severe.
Summarized in plain language from this trial's official eligibility criteria.
The full criteria are further down this page — only the research team can
confirm whether you qualify.
Think this trial could be right for you?
Answer a few quick questions to see if you may meet the eligibility requirements.
Cryptogenic stroke (CS) causes about 30% of admissions to a stroke unit. Silent paroxysmal atrial fibrillation (PAF) is believed to be the underlying cause of a significant proportion of patients. The use of implantable cardiac monitors (ICM) early after the CS has demonstrated benefits in the diagnostic yield, but the indication for ICM in the current guidelines remains unclear. Atrial contractio…
Cryptogenic stroke (CS) causes about 30% of admissions to a stroke unit. Silent paroxysmal atrial fibrillation (PAF) is believed to be the underlying cause of a significant proportion of patients. The use of implantable cardiac monitors (ICM) early after the CS has demonstrated benefits in the diagnostic yield, but the indication for ICM in the current guidelines remains unclear. Atrial contraction strain (ACS) evaluated by cardiac ultrasound could be of help to select the patients more prone to suffer from silent PAF.
The purpose of this investigation is to conduct a randomized prospective unicentric study to evaluate the usefulness of ICM for early detection of silent PAF episodes in patients with CS. Clinical and ultrasound predictors of PAF occurrence (ACS) will be studied in order to define patients needing a closer follow-up.
Trial Locations
Loading…
Loading trial locations…
Facility
City
State
Country
Status
Eligibility Criteria
Inclusion Criteria:
* Acute ischemic stroke or transient ischemic attack (TIA) from January 2022 to July 2023
* Age between 50 and 89 years;
* Undetermined origin at hospital admission according to the SSS-TOAST criteria (2):
1. Absence of major structural heart disease by cardiac ultrasound (no…
Inclusion Criteria:
* Acute ischemic stroke or transient ischemic attack (TIA) from January 2022 to July 2023
* Age between 50 and 89 years;
* Undetermined origin at hospital admission according to the SSS-TOAST criteria (2):
1. Absence of major structural heart disease by cardiac ultrasound (normal global and segmental left ventricle contraction, absence of valvular/rheumatic disease, absence of intracardiac shunts)
2. Absence of AF during 48h ECG-monitoring
3. Absence of major anomalies in the supra-aortic trunks ultrasound.
Exclusion Criteria:
1. Patients with a history of hemorrhagic stroke;
2. Presence with prior atrial fibrillation or atrial flutter;
3. Permanent contraindication or indication for OAC for other reasons;
4. Recent (\<1 month) major surgery or cardiac events;
5. Presence of severe cardiac abnormalities;
6. Patients with life expectancy \<1 year or severe stroke (modified Rankin Scale \> 4).
Picking one helps us show the most relevant trials first.
Your results are loading in the background — you can
change this any time from the results page.
Set your location to continue
Find My Trials uses your location to surface clinical trials near you.
Add your city or zip code to your profile and try again.