How Revealing Are Insertable Loop Recorders in Pediatrics?

Frangini, Patricia; Cecchin, Frank; Jordao, R N Ligia; Martuscello, R N Maria; Alexander, Mark E.; Triedman, John K.; Walsh, Edward P.; Berul, Charles I.

doi:10.1111/j.1540-8159.2008.00995.x

Cited by 51 publications

(53 citation statements)

References 23 publications

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“…In 5 retrospective studies of prolonged monitoring in 87 children with either syncope or presyncope, the mean diagnostic yield was 43%. [636][637][638][639][640] Bradyarrhythmias and high-grade AV block or asystole, as well as tachyarrhythmias, SVT, and polymorphic VT, were documented. [636][637][638][639][640] The diagnostic yield of an ICM is higher if the clinical indication was exertional syncope or the patient had underlying CHD.…”

Section: Pediatric Syncope: Recommendationsmentioning

confidence: 99%

2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society

Sheldon²,

et al. 2017

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Section: Pediatric Syncope: Recommendationsmentioning

confidence: 99%

2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society

Sheldon²,

et al. 2017

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“…Olay gerçekleştikten sonra cihaz olay öncesi, olay anında ve sonrasındaki ritmi kaydeder. Daha sonra analiz edilmek üzere kısa bir segment saklayabilir (4,6).…”

Section: Discussionunclassified

“…Senkop ile gelen hastada tanıda bir sonraki adım elektrokardiyografi (EKG), ekokardiyografi (EKO), Holter monitorizasyonu, efor testi ve bazen eğik masa testi gibi testlerin yapılıp değerlendirilmesidir. Özellikle yapısal kalp hastalığı olan hastalarda aritmi kardiyak senkop yapabilir, bu hastalarda girişimsel elektrofizyolojik çalışma veya kateter ablasyon gerekebilir (4,5). Ancak tüm bu tanı testlerine rağmen senkop mekanizması açıklanamayabilir.…”

Section: Introductionunclassified

Tekrarlayan Senkop Atağı Olan Bir Çocuk Hastada Ventriküler Taşikardinin İmplantable Loop Recorder ile Saptanması

Özyılmaz¹,

Kaşar²,

Özyılmaz³

et al. 2014

Haseki

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“…[53][54][55][56][57][58][59] Most frequently complaints are associated with normal sinus rhythm or neurally mediated sinus bradycardia, especially when there is no history of congenital or acquired heart disease. [58][59] These findings provide reassurance of the benign nature of some symptoms. The patient, his/her family or bystanders should activate the device every time symptoms occur, because sinus rhythm is not automatically recorded.…”

Section: Loop Recorders In Childrenmentioning

confidence: 99%

“…In cases where a clinically significant or lifethreatening arrhythmia is diagnosed with the ILR, a specific therapy is generally required, such as the implantation of an ICD, a pacemaker, transcatheter ablation or drug therapy. 58,59 ILRs have been effectively implanted in children under 1 year of age 53,54 and may have a higher diagnostic yield than ELRs, especially in younger children, as they do not have any external wearable part and …”

Section: Loop Recorders In Childrenmentioning

confidence: 99%

Holter Monitoring and Loop Recorders: From Research to Clinical Practice

Galli¹,

Ambrosini²,

Lombardi³

2016

Arrhythmia &Amp; Electrophysiology Review

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Since the 1960s, Holter monitoring has been a cornerstone for diagnosing suspected arrhythmias in patients of all ages. 1 The most common monitoring systems allow the continuous registration of three or more leads for 24-48 hours; newer Holter monitors allow continuous electrocardiogram (ECG) registration for 2 weeks.1 Extending the time of ECG registration will increase the diagnostic yield of Holter monitoring, especially for those rhythm disturbances that are infrequent but recurrent.1,2 This need for a prolonged ECG monitoring has been addressed by event recorders, which can monitor patients for up to 3 years, storing the ECG obtained a few minutes before and after the onset of an arrhythmia in its memory and transmitting data to the cardiac unit. 1,2 When interpreting the results of the ECG, the cardiologist has to determine whether symptoms reported by the patient could be linked to significant disturbances in heart rhythm.2 In other circumstances the detection of atrial or ventricular arrhythmias may alert the cardiologist, even if they occur asymptomatically, thus prompting a specific therapeutic decision such as starting antiarrhythmic or anticoagulant drugs or implanting a pacemaker or a cardioverter defibrillator. Cardiac Monitoring SystemsCardiac rhythm monitoring has an established diagnostic and prognostic role in different circumstances: syncope, palpitations and monitoring of patients with known or suspected episodes of atrial fibrillation (AF), e.g. those with stroke of uncertain aetiology (cryptogenic stroke).1-3 ECG monitoring may also play a role in identifying ventricular tachycardia (VT) in patients with recognised risk of sudden cardiac death. 4 As many devices with different characteristics are available, the choice of the most suitable monitoring system largely depends on the likelihood of detecting a significant correlation between symptoms and ECG findings. Holter MonitorsTraditional ambulatory Holter monitors are simple devices that usually have three leads and continuously register the ECG. They can be short-(24-48 hours) or long-duration (1-2 weeks) devices.1 Two-week Holter monitoring is preferred when diagnosing or excluding AF in cryptogenic stroke, but loop recorders and outpatient telemetry have even higher detection rates. Loop Recorders and Post-event RecordersNewer generation monitors are the so-called event recorders.According to their specific functions they can be divided into two categories: loop recorders, which include external loop recorders (ELRs) and implantable loop recorders (ILRs); and post-event recorders (non-looping recorders). 1 AbstractHolter monitors are tools of proven efficacy in diagnosing and monitoring cardiac arrhythmias. Despite the fact their use is widely prescribed by general practitioners, little is known about their evolving role in the management of patients with cryptogenic stroke, paroxysmal atrial fibrillation, unexplained recurrent syncope and risk stratification in implantable cardioverter defibrillator or pacemaker candidates. New Holt...

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How Revealing Are Insertable Loop Recorders in Pediatrics?

Cited by 51 publications

References 23 publications

2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society

2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society

Tekrarlayan Senkop Atağı Olan Bir Çocuk Hastada Ventriküler Taşikardinin İmplantable Loop Recorder ile Saptanması

Holter Monitoring and Loop Recorders: From Research to Clinical Practice

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