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Cohort studyHeart rhythm · 2026

Reducing Inconsistencies of Post-Stroke Cardiac Monitoring with Standardized, Guideline-Oriented Neuro-Cardiac Pathways.

Dhanunjaya R Lakkireddy, Naga Venkata K Pothineni, Jana Braklow … David Z Rose

CardiologyCohort study

Guideline-oriented pathways are associated with a substantial increase in long-term cardiac monitoring.

Reducing Inconsistencies of Post-Stroke Cardiac Monitoring with Standardized, Guideline-Oriented Neuro-Cardiac Pathways.

Dhanunjaya R Lakkireddy et al. · Heart rhythm · 2026

Background

It is unknown whether Guideline-Oriented Neuro-Cardio Pathways (GO-NCP) may reduce this heterogeneity.

Purpose

To assess whether a stroke care pathway in the inpatient hospital setting reduces inconsistency of cardiac monitoring post-stroke.

Methods

DiVERT-Stroke phase II was an interventional, non-randomized, multicenter cohort study designed to implement a post-stroke cardiac monitoring care pathway in the inpatient hospital setting.

Results

the use of long-term implanted heart rhythm recorders increased substantially

More results

AF detection rose from 7.2% to 9.2% (p=0.489) and anticoagulation prescriptions increased from 13.9% to 21.6% (p<0.001).

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Conclusion

Implementing a post-stroke GO-NCP significantly reduced previously identified inconsistent cardiac monitoring practices by increasing in-hospital cardiology consultations, antithrombotic prescriptions, cardiac monitoring for AF, and significantly decreases outpatient LTFU.

Reducing Inconsistencies of Post-Stroke Cardiac Monitoring with Standardized, Guideline-Oriented Neuro-Cardiac Pathways.

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