Cardiology Magazine

Editors' Corner | Steps in the Treatment of Pulmonary Embolism (Watch Out! The Staircase is Tricky!)

Cover Story | Pulmonary Embolism: A Clinical Approach

Feature | Ten Americas: Growing Disparities Creating Demographic Chasms

Feature | Bridging the Gender Gap in Heart Health: Women's Specialized Clinics

Feature | Championing Change: Herman Taylor on Improving Heart Health For All

New in Clinical Guidance | Newest AUC Provide Clinical Guidance on Cardiac Implantable Electronic Devices

New in Clinical Guidance | ACC Issues Guidance on Arrhythmia Monitoring After Stroke

From the Member Sections | Tackling the Polypharmacy Pandemic in CV Care

Focus on Heart Failure | Thinking Outside the Ice Box: Preservation Techniques, New Technologies in Transplantation

For the FITs | The Emergence of Substance Use Disorders and Their Implications in Cardiovascular Disease

Courageous Conversations | The Invisible Armor: A Personal Reflection on The Power of Resilience as a Black Woman in Cardiology

Quality Improvement For Institutions | NCDR Research: Data Driving Better Practice, Patient Outcomes

Prioritizing Health | Journey of the Health and Well-Being Coaching Profession

Heart of Health Policy | ACC Advocacy Welcomes New Members of Congress

Heart of Health Policy | Action Steps Following CCTA Coding Change From 2025 OPPS Final Rule; Coding Corner: How to Use New ASCVD Risk Assessment and Management Codes

JACC in a Flash | Aircraft Noise Poses Threats to Heart Health; More

The Pulse of ACC | Welcome to Camp Cardiac; ACC.25 Pre-Conference Opportunity: Renal Denervation

Number Check | Powering Quality Improvement

ACC Mission in Action | Making a Global Difference

New in Clinical Guidance | ACC Issues Guidance on Arrhythmia Monitoring After Stroke

The ACC has issued new guidance on practical approaches for arrhythmia monitoring after stroke, offering clinicians tailored strategies to improve post-stroke care by identifying and managing atrial fibrillation (AFib) and other arrhythmias linked to recurrent stroke risk.

The 2024 ACC Expert Consensus Decision Pathway on Practical Approaches for Arrhythmia Monitoring After Stroke emphasizes personalized approaches to arrhythmia monitoring, utilizing advanced technologies such as medical-grade and consumer-grade cardiac monitors, and integrating multidisciplinary expertise to optimize patient outcomes.

Pathway Summary Graphic

"There is growing consensus on the role of cardiac rhythm monitoring in patients after a stroke that is informed by outcomes of several recent landmark trials," said Michael T. Spooner, MD, MBA, FACC, writing committee chair. "Although improved monitoring leads to improved detection of arrhythmia after a stroke, there remains less clarity on the effect this detection has on secondary stroke prevention."

The ECDP includes comprehensive guidance for arrhythmia detection based on stroke subtype, leveraging extended and implantable cardiac monitors where appropriate; detailed evaluation of medical- and consumer-grade monitoring devices to support clinicians in selecting the right tools for individual patients; emphasis on collaboration between clinicians and patients to personalize monitoring strategies and treatment plans.

Read the full document published in JACC.

Resources

Clinical Topics: Arrhythmias and Clinical EP, Atrial Fibrillation/Supraventricular Arrhythmias

Keywords: Cardiology Magazine, ACC Publications, Atrial Fibrillation, Stroke, Electrocardiography