Hidden heart rhythm disorder may be behind many unexplained strokes
NCT ID NCT01025947
First seen Jul 08, 2026 · Last updated Jul 09, 2026 · Updated 1 time
Summary
This study looks at people who had a stroke or mini-stroke with no known cause (cryptogenic stroke). Researchers want to see if a small device implanted under the skin, called an implantable loop recorder, can detect hidden atrial fibrillation — an irregular heart rhythm that can cause strokes — over two years. The goal is to understand how often atrial fibrillation occurs in these patients and whether it leads to changes in treatment.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If this study finds that many cryptogenic strokes are linked to hidden atrial fibrillation, it could lead to better detection and prevention of future strokes.
- What could go wrong
- This is an observational study, not a treatment trial. It may not prove that detecting AF changes outcomes, and the device may miss some episodes.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 100 people
The number the study aims to enrol. It can still change while the study runs.
- Start date
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Mar 2009
- Finished
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Mar 2013
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Patients with cryptogenic stroke (TOAST criteria) and with an implantable EKG loop recorder implanted for detection of atrial fibrillation
- Ages
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45 to 85 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * All patients included must meet one of these two conditions: * Patient presenting with an episode of transient ischemic attack (TIA) of cryptogenic origin with neurological symptoms of less than 24h of evolution and negative neuroimaging. * First episode of ischaemic stroke with cryptogenic etiology following TOAST criteria * All patients must meet all of the following: * The patient has been implanted an ILR within 30 days after qualifying event * Age between 45-85 years * No stenosis \>50% in any arterial vessel corresponding to the affected territory * Normal Echocardiography * Normal 24 hours EKG Holter recording * Absence of Patent Foramen Ovale through transcranial doppler (or transesophageal echocardiography) * Acceptance and signature of Patient Informed Consent. Exclusion Criteria: * All patients included cannot meet any of the following conditions: * Recurrent stroke or TIA * Stroke or TIA with determined etiology according to TOAST criteria. * Anticoagulation indication at the time of enrollment in the study. * Total contraindication for anticoagulation therapy * Atrial fibrillation detection prior to enrollment * Severe cognitive impairment or dementia * Patient unable to be followed up * Patients enrolled in another clinical trial * Patients with life expectancy of less than 1 year * Pregnancy
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Hospital Clinico Universitario de Valencia
Valencia, 46010, Spain
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Hospital Universitario Virgen de la Arrixaca
Murcia, 30120, Spain
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Other studies related to the condition(s) this trial covers.
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- Pilot study on the effects induced by an electromyographic-controlled functional electrical stimulator (FitFES) for upper limb rehabilitation in post-stroke patients
- Brazilian version of a behavior change intervention to support healthy lifestyle adoption after stroke - iVIDAVC: protocol for a pilot randomized study
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