ModuleDraft

Internist module: AF detection after cryptogenic stroke/TIA (outpatient follow-up workflow)

A practical outpatient workflow for internists to ensure AF detection workup is completed after cryptogenic stroke/TIA: monitoring types (concept), documentation, and closing the loop with cardiology/neurology.

ClinicianClinicianAdvanced30 minClinical (pro)

Educational only

Educational only — follow institutional pathways and cardiology/neurology recommendations.

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Key takeaways

  • Explain why prolonged rhythm monitoring is used after cryptogenic stroke (concept)
  • Track completion and results of monitoring in the outpatient chart
  • Create a handoff note template for cardiology/neurology coordination

Why AF is missed

  • Paroxysmal episodes
  • Short inpatient windows

Monitoring options (concept)

  • Holter
  • Patch
  • Event monitor
  • Implantable monitor

Outpatient loop closure

  • Order
  • Confirm placed
  • Confirm result
  • Document action

Practice check

What you’ll practice

These questions are untimed. After you answer all of them, you’ll see your score and a clear next lesson or reference step.

0 of 2 answered

Question 1

1. Short inpatient telemetry may miss paroxysmal AF; outpatient monitoring can increase detection.

Question 2

2. The outpatient priority after cryptogenic stroke is to…

References

  1. Tier 1
    AHA/ASA 2021 Secondary Prevention Guideline (evaluation after stroke; AF monitoring concepts)
  2. Tier 1
    AHA/ACC/HRS 2023 AF Guideline (diagnosis/monitoring context)