Official Title: WSO - the Brain and HEart GlobAl IniTiative BEAT Stroke
Status: NOT_YET_RECRUITING
Status Verified Date: 2024-09
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: No
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: BEAT STROKE
Brief Summary: The WSO Brain and hEart globAl iniTiative - STROKE BEAT-STROKE is a cluster randomized controlled trial testing whether an educational and implementation Neurocardiology tool can improve adherence to best practice recommendations for secondary stroke prevention of cardioembolic strokes as defined by the WSO Systematic Review and Synthesis of Global Stroke Guidelines or more recent high-quality evidence published after the last stroke guidelines1
Detailed Description: The World Stroke Organization WSO Brain and Heart Task Force developed The Brain ampamp hEart globAl iniTiative BEAT a pilot feasibility program aimed at establishing clinical collaborations between cardiologists and stroke physicians1 The WSO BEAT pilot project focused on atrial fibrillation AF and patent foramen ovale PFO detection and management highly prevalent cardioembolic causes of ischemic stroke and transient ischemic attack TIA
The pilot feasibility WSO BEAT program comprised 10 sites from 8 countries including Brazil China Egypt Germany Japan Mexico Romania and the USA Of the 10 sites two belonged exclusively to the public sector and one was public and private The primary objective of the pilot WSO BEAT program was to assess its feasibility by achieving a composite feasibility outcome including 1 developing site-specific clinical pathways for the diagnosis and management of AF PFO and the stroke heart syndrome 2 establishing regular Neurocardiology rounds eg monthly bimonthly etc and 3 incorporating a cardiologist to the stroke team
Overall the WSO BEAT program successfully achieved the pre-specified goals at most sites Regarding the three primary program objectives 910 90 of the sites were able to design or update the proposed clinical care pathways establish Neurocardiology rounds and designate a dedicated cardiologist for the stroke team respectively
To date it is unknown whether the implementation of Neurocardiology educational tools and collaborations between cardiologists and neurologists can improve adherence to best practice recommendations focused on the management of cardioembolic strokes