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Reader Response: Prolonged Cardiac Monitoring and Stroke Recurrence: A Meta-analysis


Tsivgoulis et al.1 should be commended for this meta-analysis follow-up to their 2019 work, which demonstrates the utility of prolonged cardiac monitoring for the goal of stroke secondary prevention. For those of us who navigate these clinical waters on a regular basis, it is refreshing to read our daily conundrum so precisely summarized. It would be a welcome addition to this analysis to include other common heart rhythm markers of cardiopathy (AT, premature atrial contractions, and high-burden premature ventricular contraction) encountered on a short-term and 30-day monitors that are often used to justify the cost, risk, and inconvenience of implantable loop recorder (ILR) use.



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