BACKGROUND: Recent studies have suggested that prolonged outpatient rhythm monitoring results in increased detection of @entity955 ( @entity955 ) in @entity1 with @entity64 ( @entity64 ). However, the best monitoring strategy and its clinical utility is debatable. OBJECTIVE: To compare the effectiveness of implantable loop recorder (ILR) versus wearable devices in identifying @entity955 in @entity1 with @entity64 . METHODS AND RESULTS: Three randomized controlled trials (RCTs) and 13 observational studies were identified by database searches. Seven studies (enrolling 774 @entity1 ) employed ILR for @entity955 detection for a median duration of 365 days (range 50-569 days). Ten Studies (enrolling 996 @entity1 ) employed continuous monitoring with wearable devices for a median duration of 21 days (range 4 to 30 days). One study performed 7 days of monitoring with wearable device followed by implantation of ILR, thus included in both groups. Pooled odds ratio (OR) of identifying @entity955 in RCTs showed increased detection of @entity955 with prolonged monitoring (OR 4.54, 95% confidence interval [CI] 2.92, 7.06; p < 0.00001) compared to routine outpatient follow-up. Overall detection of @entity955 with outpatient monitoring was 17.6% (CI: 12.5 to 22.7). There was significantly higher @entity955 detection with ILR (23.3%; CI: 13.83 to 32.29) compared to wearable devices (13.6%; CI: 7.91 to 19.32; p value < 0.05). @entity1 with @entity955 were older in age compared to @entity1 without @entity955 . CONCLUSION: @entity955 detection in @entity1 with @entity64 is improved with prolonged rhythm monitoring and is better with ILR compared to wearable devices. @entity955 was more common in older @entity1 . The clinical significance of these findings is unknown at this point. This article is protected by copyright. All rights reserved.

Role of Outpatient Cardiac Rhythm monitoring in Cryptogenic XXXX : A Systematic Review and Meta-analysis.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity64 :: ('MESH:D020521', 'Disease') :: ['CS', 'cryptogenic stroke'] @entity955 :: ('MESH:D001281', 'Disease') :: ['atrial fibrillation', 'AF']
@entity64 :: (MESH:D020521,Disease) :: ['Stroke']
