Outcome of patients with syncope beyond the implantable loop recorder.

Usefulness of an Implantable Loop Recorder in Patients with Syncope of an Unknown Cause

PURPOSE The mechanisms underlying syncope remain unknown in about 20% of patients with recurrent syncope. The implantable loop recorder (ILR) has been shown to be a useful diagnostic tool in patients with unexplained syncope even after negative initial evaluations. Nevertheless, ILR has rarely been used in clinical practice. MATERIALS AND METHODS This study included 18 consecutive patients wh...

Accurate diagnosis of convulsive syncope: role of an implantable subcutaneous ECG monitor

Convulsive syncope due to transient bradycardia is recognized as a cause of treatment-resistant seizures. However, the diagnosis may be difficult to make with conventional electrocardiographic devices if attacks are infrequent. We present a case of apparent epilepsy in which a new implantable electrocardiographic event recorder (the 'Reveal' insertable loop recorder) was used to show that attac...

The role of the implantable loop recorder in the investigation of recurrent syncope.

Recurrent syncope is a common clinical problem. Patients with recurrent syncope frequently undergo extensive investigations that consume significant health care resources. Nevertheless, in a large percentage of patients syncope remains unexplained. The implantable loop recorder is a recognized diagnostic tool that can provide a definitive diagnosis and thus permit specific treatment. We present...

The implantable loop recorder in older patients with syncope: is sooner better?

Artefact mimicking tachycardia during magnetic resonance imaging in a patient with an implantable loop recorder.

An implantable loop recorder (ILR) was implanted in a 45 year old man with recurrent syncope. A subsequent episode of injurious syncope led to performance of a cranial and shoulder magnetic resonance imaging (MRI). An artefact mimicking both wide and narrow complex tachycardias was recorded by the ILR during the shoulder MRI but not the cranial MRI. Caution should be used when interpreting the ...