Stroke Monitoring

If you’ve experienced a stroke without a clear cause, you may have what’s called a cryptogenic stroke. Strokes are often linked to an “embolic” event, meaning that a clot has flicked off from somewhere in the body and caused a complete obstruction in the brain and death of brain tissue.

Stroke monitoring is designed to rule out sources of stroke including the carotid arteries, holes in the heart, and atrial fibrillation so they can be treated before another stroke occurs.

At Well&You, we provide advanced stroke source detection and monitoring in an outpatient setting, allowing for long-term rhythm stroke source detection and proactive stroke prevention.

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What Is Stroke Source Detection?

Stroke source detection involves tracking down the cause of the stroke and fixing the underlying issue so you don’t have another stroke. Sources of stroke involve:

  • Patent Foramen Ovale – A hole in the heart that can allow clots to be ejected into the brain.
  • Carotid Blockage – Clots forming in the carotid that can eject into the brain.
  • Atrial Fibrillation – Up to 30% of cryptogenic stroke patients are later found to have atrial fibrillation that was not detected during initial hospitalization.

Many of these conditions can remain silent until a stroke occurs, which is why at Well&You we take a deeper approach—using robotic transcranial Doppler, advanced ultrasound, and cardiac monitoring to identify and rule them out early.

Benefits of

Stroke Monitoring

You may benefit from advanced monitoring if you:

  • Had a stroke with no clear source
  • Were told your stroke was “cryptogenic”
  • Have intermittent palpitations
  • Experience unexplained dizziness or fainting
  • Have a history of atrial fibrillation
  • Have high blood pressure or diabetes
  • Have a family history of stroke

Even if you feel fine now, rhythm abnormalities may still be present.

How Manages

Stroke Monitoring

Well&You uses a structured, risk-based approach tailored to your symptoms. Evaluation includes a physical exam, EKG, and risk assessment, with stress testing, cardiac CT imaging, and blood pressure monitoring as needed. If results are inconclusive, extended monitoring may be recommended.

Remote Blood Pressure Monitoring 

A single blood pressure reading in the office isn’t enough. Blood pressure can fluctuate—and some patients have higher readings only at home. That’s why we offer remote blood pressure monitoring.

With this system:

  • You receive an easy-to-use blood pressure cuff
  • Readings automatically and immediately transmitted to your care team
  • We’re alerted if values are too high or too low, including irregular rhythms, atrial fibrillation (AFib), pauses, tachycardia, and bradycardia
  • Medication adjustments can be made without waiting months

This approach allows us to manage hypertension proactively and reduce long-term risks such as stroke, kidney damage, and heart failure.

How Monitors for Stroke Risk

Well&You uses a structured approach focused on early detection and prevention. Evaluation includes a review of stroke history, EKG and baseline rhythm assessment, carotid ultrasound, robotic transcranial Doppler, and risk factor and blood pressure evaluation. If no clear cause is found, extended rhythm monitoring may be recommended.

For longer-term monitoring, implantable cardiac monitors (ICMs) can track heart rhythm continuously for up to 3 years. These small, discreet devices are placed during a quick outpatient procedure and automatically transmit data to your care team for highly accurate detection of conditions like AFib.

Implantable Monitoring vs. Short-Term Testing

ApproachMonitoring DurationAFib Detection RateContinuous Data
Implantable Cardiac MonitorUp to 3 yearsHighestYes
24–48 Hour Holter Monitor1–2 daysLimitedShort-term only
Office EKGMinutesVery limitedNo
No MonitoringNoneMissed riskNo

AFib episodes can be brief and infrequent. Without long-term monitoring, they are often missed.

What Happens If AFib Is Detected?

If monitoring identifies atrial fibrillation, we can:

  • Initiate blood thinner therapy to reduce stroke risk
  • Adjust medications
  • Consider procedures to reduce rhythm irregularity
  • Consider procedures to protect your brain without needing blood thinners.
  • Coordinate ongoing cardiac care

Early detection dramatically lowers the risk of a second stroke.

Insurance and Cost Guidance

Implantable cardiac monitoring is typically covered by insurance when medically indicated following a stroke. Well&You works with most major insurance plans, including Medicare.

Our Patient Navigators help you:

  • Verify coverage
  • Explain expected costs
  • Review self-pay options if needed
  • Avoid surprise billing

You can learn more by visiting our Insurance & Coverage page.

Who Should Consider Stroke Monitoring?

You may benefit from monitoring if you:

  • Had a stroke with no confirmed cause
  • Have been diagnosed with TIA (mini-stroke)
  • Have unexplained neurological symptoms
  • Have risk factors for atrial fibrillation
  • Want to reduce your risk of another stroke

Preventing a second stroke is often about identifying what was missed the first time.

Why Stroke Monitoring Matters

After one stroke, your risk of another increases—especially if the underlying cause remains untreated.

Without monitoring:

  • Hidden AFib may go undetected
  • A small treatable hole in your heart may be the source of another stroke
  • Stroke risk remains elevated
  • Blood clots may form silently
  • Preventable events may occur

With monitoring:

  • Rhythm abnormalities can be identified early
  • Treatment can begin before another event
  • Long-term stroke risk can be significantly reduced

Stroke prevention is not just about recovery—it’s about protection.

What Our Patients Experience

Patients who undergo stroke monitoring at Well&You often report:

  • Greater peace of mind
  • Clear understanding of their heart rhythm
  • Coordinated follow-up care
  • Confidence that they are actively reducing stroke risk

Monitoring is proactive. It shifts care from reacting to emergencies to preventing them.

Take The Next Step

If you’ve experienced a stroke or TIA without a clear explanation, monitoring may help identify the cause and protect your future. Don’t leave stroke prevention to chance.