No phaseTerminated

Clinical Implication of Atrial Fibrillation Detection Using Wearable Device in Patients With Cryptogenic Stroke (CANDLE-AF)

Clinical Implication of Atrial Fibrillation Detection Using Wearable Device in Patients With Cryptogenic Stroke - The Comparison Between Short-term Continuous Patch and Long-term Discontinuous Monitoring

Sponsor
Ewha Womans University Mokdong Hospital (Academic or other)
Enrolment
338 enrolled
Conditions
Atrial Fibrillation; Ischemic Stroke; Transient Ischemic Attack
Interventions
Ambulatory Holter monitoring; Discontinuous monitoring; Continuous single-lead ECG Patch
Ages
adults, older adults
Registry
NCT04624646, KCT0005592

Full record on ClinicalTrials.gov

From the registry

Atrial fibrillation (AF) detected after ischemic stroke has immediate therapeutic implications, because it prompts a switch from antiplatelet to anticoagulant therapy. The conventional method used to screen for AF in patients whose stroke has no identified cause (cryptogenic stroke) is 24-hour Holter monitoring. CANDLE-AF is a multicenter, open-label, randomized trial comparing three noninvasive monitoring strategies over 12 months in patients with cryptogenic ischemic stroke or transient ischemic attack and no known AF: physician-directed standard care (at least one 24- to 72-hour Holter recording), scheduled 72-hour single-lead patch ECG monitoring repeated at 1, 3, 6, and 12 months, and twice-daily 30-second handheld single-lead ECG recording with a smartphone-based device for 12 months. The primary outcome is detection of AF lasting 30 seconds or longer within 12 months.

Primary outcomes

  • Detection of atrial fibrillation lasting 30 seconds or longer

History

  1. Last registry update

  2. Primary completion

  3. Started

  4. Registered