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CC BY-NC-ND 4.0 · Asian J Neurosurg 2025; 20(03): 549-555
DOI: 10.1055/s-0045-1809050
Original Article

Detection and Predictors of Arrhythmia in Patients with Chronic Noncardioembolic Ischemic Stroke on Wearable Electrocardiogram Device

Authors

  • Yu Akimoto

    1   Department of Neurosurgery, Institute of Medicine, University of Tsukuba, Ibaraki, Japan

  • Yoshiro Ito 

    1   Department of Neurosurgery, Institute of Medicine, University of Tsukuba, Ibaraki, Japan

  • Hideo Tsurushima

    1   Department of Neurosurgery, Institute of Medicine, University of Tsukuba, Ibaraki, Japan
    2   R&D Center for Frontiers of MIRAI in Policy and Technology, University of Tsukuba, Ibaraki, Japan

  • Hisayuki Hosoo

    1   Department of Neurosurgery, Institute of Medicine, University of Tsukuba, Ibaraki, Japan
    3   Division of Stroke Prevention and Treatment, Institute of Medicine, University of Tsukuba, Ibaraki, Japan

  • Aiki Marushima

    1   Department of Neurosurgery, Institute of Medicine, University of Tsukuba, Ibaraki, Japan

  • Mikito Hayakawa

    4   Department of Neurology, Institute of Medicine, University of Tsukuba, Ibaraki, Japan

  • Kazuhiro Nakamura 

    5   Department of Neurosurgery, Tsukuba Memorial Hospital, Ibaraki, Japan

  • Keishi Fujita

    6   Department of Neurosurgery, Ibaraki Seinan Medical Center Hospital, Ibaraki, Japan

  • Toshitsugu Terakado

    7   Department of Neurosurgery, Koyama Memorial Hospital, Ibaraki, Japan

  • Hiroshi Yamagami

    3   Division of Stroke Prevention and Treatment, Institute of Medicine, University of Tsukuba, Ibaraki, Japan

  • Yuji Matsumaru

    1   Department of Neurosurgery, Institute of Medicine, University of Tsukuba, Ibaraki, Japan

  • Eiichi Ishikawa

    1   Department of Neurosurgery, Institute of Medicine, University of Tsukuba, Ibaraki, Japan

Funding None.
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Abstract

Objectives

The screening examination for arrhythmias in patients with chronic noncardioembolic ischemic stroke is limited. This study aimed to investigate the prevalence of arrhythmia in patients with chronic noncardioembolic ischemic stroke using a stick-on wearable device.

Materials and Methods

This was a prospective observational study conducted between July 2020 and February 2022 involving 176 patients with a history of noncardioembolic ischemic stroke. Patients receiving anticoagulant therapy were excluded. For the evaluation of arrhythmias, the patients wore a stick-on wearable device for a maximum of approximately 7 days. We investigated the prevalence of arrhythmia and its associated factors.

Results

The mean measurement time was 121.3 ± 45.3 hours. Atrial fibrillation was present in 2 (1.1%) patients, frequent premature atrial contractions (PACs) in 69 (39.2%), and frequent premature ventricular contractions (PVCs) in 36 (20.5%). Regression analysis showed that the risk factors independently associated with frequent PACs were age (odds ratio [OR] 1.103, 95% confidence interval [CI] 1.055–1.153; p < 0.001) and cilostazol use (OR 2.681, 95% CI 1.338–5.371; p = 0.005). Regression analysis showed that the risk factors independently associated with frequent PVCs were age (OR 1.047, 95% CI 1.002–1.095; p = 0.043), male sex (OR 3.834, 95% CI 1.441–11.045; p = 0.013), and cilostazol use (OR 2.968, 95% CI 1.363–6.463; p = 0.006).

Conclusion

The prevalence of frequent PVCs is higher in patients with chronic noncardioembolic ischemic stroke than in the general population. The stick-on wearable device is a useful screening tool for arrhythmia in patients with chronic noncardioembolic ischemic stroke.

Keywords

wearable device - noncardioembolic ischemic stroke - arrhythmia - atrial fibrillation - frequent premature atrial contractions - frequent premature ventricular contractions


Publikationsverlauf

Artikel online veröffentlicht:
05. Mai 2025

© 2025. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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