![]() Mechanism of syncope in patients with bundle branch block and negative electrophysiological test. ![]() ![]() 36(18):1098-105.īrignole M, Menozzi C, Moya A, et al, for the International Study on Syncope of Uncertain Etiology (ISSUE) Investigators. A study of implanted cardiac rhythm recorders in advanced cardiac AL amyloidosis. Implantable loop recorders in patients with unexplained syncope: clinical predictors of pacemaker implantation. Insertable loop recorder use for detection of intermittent arrhythmias. Diagnostic assessment of recurrent unexplained syncope with a new subcutaneously implantable loop recorder. Seidl K, Rameken M, Breunung S, et al, for the Reveal-Investigators. Guidelines for the diagnosis and management of syncope (version 2009). Task Force for the Diagnosis and Management of Syncope ESC EHRA HFA HRS Moya A, Sutton R, Ammirati F, Blanc JJ, et al. Early application of an implantable loop recorder allows effective specific therapy in patients with recurrent suspected neurally mediated syncope. Although the sole independent predictor was increased p wave dispersion, other predictive variables included advanced age, diastolic dysfunction, and ECG features of premature atrial contractions and p wave dispersion.īrignole M, Sutton R, Menozzi C, et al, for the International Study on Syncope of Uncertain Etiology 2 (ISSUE 2) Group. Similary, a 2020 retrospective study (2015-207) of data from 178 patients who presented with cryptogenic stroke and received an ILR found nearly 20% (19.6% n = 36) had AF (median follow-up: 365 days). Over a 36-month monitoring period, 29% of patients with cryptogenic stroke were found to have clinically significant AF. The CRYSTAL-AF (Continuous Cardiac Monitoring to Assess Atrial Fibrillation After Cryptogenic Stroke) study demostrated that ILRs improve the diagnostic yield over short-term ambulatory external ECG recording techniques in this patient population. ILRs also play an important role in cryptogenic stroke patients. In the CARISMA (Cardiac Arrhythmias and Risk Stratification After Myocardial Infarction) trial, a 28% incidence of new-onset AF was observed. ILRs can provide long-term ECG monitoring in patients at risk for or with documented AF.
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