Evidence map›Paper›PMID 39791425›Full record

Trial reportJournal of the American Heart Association2025

Excessive Supraventricular Ectopic Activity in Patients With Acute Ischemic Stroke Is Associated With Atrial Fibrillation Detection Within 24 Months After Stroke: A Predefined Analysis of the MonDAFIS Study.

Karl Georg Haeusler, Serdar Tütüncü, Cornelia Fiessler, Muhammad Jawad-Ul-Qamar, Claudia Kunze, Johannes Schurig, Joanna Dietzel, Michael Krämer, Gabor C Petzold, Georg Royl and 10 more

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02204267 (Impact of Standardized MONitoring for Detection of Atrial Fibrillation in Ischemic Stroke), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02204267 nacompletednot on this map

Impact of Standardized MONitoring for Detection of Atrial Fibrillation in Ischemic Stroke

TypeinterventionalSponsorCharite University, Berlin, GermanyRan2014 to 2020Enrolled3,470ConditionsStroke, Atrial FibrillationArmsprolonged ECG monitoring, ECG
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Karl Georg HaeuslerDepartment of Neurology University of Ulm Ulm Germany.ORCID 0000-0002-6389-5054
Serdar TütüncüCenter for Stroke Research Berlin Charité-Universitätsmedizin Berlin Berlin Germany.ORCID 0000-0002-5057-7487
Cornelia FiesslerInstitute for Clinical Epidemiology and Biometry, University of Würzburg Würzburg Germany.
Muhammad Jawad-Ul-QamarDepartment of Cardiology Hull University Teaching Hospitals, NHS trust Hull United Kingdom.ORCID 0000-0001-6336-0327
Claudia KunzeCenter for Stroke Research Berlin Charité-Universitätsmedizin Berlin Berlin Germany.
Johannes SchurigDepartment of Radiology and Neuroradiology Städtisches Klinikum Dresden Friedrichstadt Dresden Germany.ORCID 0000-0002-8743-3743
Joanna DietzelInstitute of Social Medicine, Epidemiology and Health Economics, Charité Berlin Germany.ORCID 0000-0003-4739-4230
Michael KrämerCenter for Stroke Research Berlin Charité-Universitätsmedizin Berlin Berlin Germany.ORCID 0000-0002-0310-5903
Gabor C PetzoldDepartment of Vascular Neurology University of Bonn Germany.
Georg RoylDepartment of Neurology and Neurovascular Center University Hospital Schleswig Holstein Luebeck Germany.ORCID 0000-0002-0631-5711
Torsten HelbergDepartment of Neurology MediClin Hospital Plau am See Plau am See Germany.
Götz ThomallaDepartment of Neurology University Medical Center Hamburg-Eppendorf Hamburg Germany.ORCID 0000-0002-4785-1449
Darius G NabaviDepartment of Neurology Vivantes Klinikum Neukölln Berlin Germany.
Joachim RötherDepartment of Neurology Asklepios Klinik Altona Hamburg Germany.ORCID 0000-0002-8088-9991
Ulrich LaufsKlinik und Poliklinik für Kardiologie Universitätsklinikum Leipzig Leipzig Germany.ORCID 0000-0003-2620-9323
Roland VeltkampDepartment of Neurology Alfried Krupp Krankenhaus Essen Germany.ORCID 0000-0002-0583-1300
Peter U HeuschmannInstitute for Clinical Epidemiology and Biometry, University of Würzburg Würzburg Germany.ORCID 0000-0002-2681-3515
Paulus KirchhofCollege of Medical and Dental Sciences, Medical School Institute of Cardiovascular Sciences, University of Birmingham United Kingdom.ORCID 0000-0002-1881-0197
Manuel C OlmaCenter for Stroke Research Berlin Charité-Universitätsmedizin Berlin Berlin Germany.ORCID 0000-0001-8153-3025
Matthias EndresCenter for Stroke Research Berlin Charité-Universitätsmedizin Berlin Berlin Germany.ORCID 0000-0001-6520-3720

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExcessive supraventricular ectopic activity (ESVEA) is regarded as a risk marker for later atrial fibrillation (AF) detection. METHODS AND

resultsThe investigator-initiated, prospective, open, multicenter MonDAFIS (Impact of Standardized Monitoring for Detection of Atrial Fibrillation in Ischemic Stroke) study randomized 3465 patients with acute ischemic stroke without known AF 1:1 to usual diagnostic procedures for AF detection or additive Holter monitoring in hospital for up to 7 days, analyzed in a core laboratory. Secondary study objectives include the comparison of recurrent stroke, myocardial infarction, major bleeding, and all-cause death within 24 months in patients with ESVEA (defined as ectopic supraventricular beats ≥480/day or atrial runs of 10-29 seconds or both) versus patients with newly diagnosed AF versus patients without ESVEA or AF (non-ESVEA/AF), randomized to the intervention group. Overall, 1435 (84.8%) of 1714 patients randomized to the intervention group had analyzable study ECG monitoring of at least 48 hours' duration within the first 72 hours of monitoring. ESVEA was detected in 363 (25.3%) patients, while AF was first detected in 48 (3.3%) patients. Within 24 months, AF was newly detected in 67 (18.5%) patients with ESVEA versus 60 (5.9%) patients without ESVEA/AF- (

conclusionsESVEA in the acute phase of ischemic stroke or transient ischemic attack is associated with AF detection during follow-up and therefore may be used to select patients for prolonged ECG monitoring. REGISTRATION: URL: https://www.clinicaltrials.gov; Unique identifier: NCT02204267.

Indexed as

Atrial FibrillationAtrial Premature ComplexesIschemic StrokeAgedAged, 80 and overElectrocardiography, AmbulatoryFemaleHeart RateHumansMaleMiddle AgedProspective StudiesRecurrenceRisk FactorsTime Factorsatrial fibrillationatrial rundeathECGstrokesupraventricular ectopy

Identifiers

PMID39791425
PMCPMC12054430

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.