Implantable loop recorder: towards a gold standard for the diagnosis of syncope?

Brignole, Michele; Menozzi, Carlo; Moya, Angel; García‐Civera, Roberto

doi:10.1136/heart.85.6.610

Cited by 25 publications

(6 citation statements)

References 6 publications

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“…It can be regarded as the diagnostic “gold standard” through its ability to establish the rhythm at the time of the fall or syncope (Brignole et al 2001). …”

Section: Investigationsmentioning

confidence: 99%

Cardiovascular assessment of falls in older people

Tan¹,

Kenny²

2006

Clinical Interventions in Aging

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Falls in older people can be caused by underlying cardiovascular disorders, either because of balance instability in persons with background gait and balance disorders, or because of amnesia for loss of consciousness during unwitnessed syncope. Pertinent investigations include a detailed history, 12-lead electrocardiography, lying and standing blood pressure, carotid sinus massage (CSM), head-up tilt, cardiac electrophysiological tests, and ambulatory blood pressure and heart rate monitoring, which includes external and internal cardiac monitoring. The presence of structural heart disease predicts an underlying cardiac cause. Conversely, the absence of either indicates that neurally mediated etiology is likely. CSM and tilt-table testing should be considered in patients with unexplained and recurrent falls. Holter monitoring over 24 hours has a low diagnostic yield. Early use of an implantable loop recorder may be more cost-effective. A dedicated investigation unit increases the likelihood of achieving positive diagnoses and significantly reduces hospital stay and health expenditure.

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“…It can be regarded as the diagnostic “gold standard” through its ability to establish the rhythm at the time of the fall or syncope (Brignole et al 2001). …”

Section: Investigationsmentioning

confidence: 99%

Cardiovascular assessment of falls in older people

Tan¹,

Kenny²

2006

Clinical Interventions in Aging

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“…This form of documentation of the rhythm disturbance has increasingly become recognized as the "gold standard" for diagnostic testing. 2,3 The implantable loop recorder (ILR, Reveal or Reveal Plus , Medtronic, Inc., Minneapolis, MN, USA) is a small implantable monitoring device that records a single-lead electrocardiogram after subcutaneous implantation. This monitor acts as an endless loop recorder that can be programmed to automatically detect slow and fast rhythm disturbances and/or can be programmed to be patient "triggered" to detect the rhythm during a symptom.…”

Section: Introductionmentioning

confidence: 99%

The Dual Role of Implantable Loop Recorder in Patients with Potentially Arrhythmic Symptoms: A Retrospective Single‐Center Study

Kabra

Gopinathannair

Sandesara

et al. 2009

Pacing Clinical Electrophis

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“…In this study we used the implantable loop recording (ILR) as a “gold standard” 7 to assess the diagnostic value of TTT in patients suspected to have an arrhythmic cause for syncope but who had a negative EPS.…”

Section: Introductionmentioning

confidence: 99%