The implantable loop recorder in children

Yeung, Baldwin Po Man; McLeod, Karen

doi:10.1136/hrt.2007.121855

Cited by 22 publications

(14 citation statements)

References 20 publications

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“…The large number of patients left undiagnosed were simply due to the lack of recurrent syncope while the ILR was in use. This resolution of syncope after ILR implantation has been reported previously at comparable rates 6–8 . Possible explanations could include recovery of a transient medical condition, psychogenic issues, or placebo effects.…”

Section: Editorial Commentsupporting

confidence: 83%

Long‐Term Insertable Loop Monitors: How Much Should We Watch to Get an Answer (Diagnosis)?

Kim

2011

Cardiovasc electrophysiol

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Editorial Comment"You can observe a lot just by watching." "I wish I had an answer to that because I'm tired of answering that question." -Yogi BerraSyncope is one of the most commonly encountered medical conditions and a frequent reason for seeking medical care. Despite extensive medical and diagnostic evaluation, the cause of syncope is unexplained in about one-third of patients. This lack of a clear etiology for unexplained syncope leaves both patients and clinicians uncertain as to future prognosis in regard to potential recurrent events. This uncertainty often results in further testing, in part, so as to not miss diagnosing a potentially preventable condition such as a transient arrhythmia, for example a bradycardia, or to make a diagnosis and thus possibly answer the question "why do I keep passing out?" Unfortunately, the answer is often "I don't know." A crucial piece of information is whether the etiology of syncope is arrhythmic or nonarrhythmic in origin. In this setting when there is no clear diagnosis, the insertable loop recorder (ILR) has been utilized as a diagnostic tool, typically for 12-18 months. Such technology has clearly been an advance in monitoring in terms of yielding a recording of the electrocardiogram (ECG) at the time of recurrent syncope in comparison with standard holter or event monitoring, especially for infrequent episodes. Even more long-term or repeat noninvasive monitors are still less likely to capture an event simply by the obvious-more time for "watching" with the ILR.In this issue of the journal, Furukawa et al. 1 present the data on very prolonged ILR monitoring up to 4 years and the impact on yielding a diagnosis in a highly selected and appropriate ILR population with unexplained syncope. Nearly half (n = 70) of the reported patients (n = 157) were monitored ≥18 months. Diagnoses were made in 68 patients with ILR event analysis with an increased diagnostic yield over time: 30% (year 1); 43% (year 2); 52% (year 3); 80% (year 4). Of the diagnoses, 26% were made after 18 months and overall diagnoses were not dependent on clinical factors at presentation. Consistent with prior studies, 2-4 the di-

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Section: Editorial Commentsupporting

confidence: 83%

Long‐Term Insertable Loop Monitors: How Much Should We Watch to Get an Answer (Diagnosis)?

Kim

2011

Cardiovasc electrophysiol

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“…The finding of higher rates of complications in younger patients has been assessed in previous reports. 16 The reported mortality of the present group was relatively low (2.4%), with death occurring at a mean age of 73 years. The few deaths in the younger patients were related to severe concomitant conditions.…”

Section: Resultsmentioning

confidence: 99%

Implantable Loop Recorder Allows an Etiologic Diagnosis in One-Third of Patients

Lacunza

Moya-Mitjans

Martı́nez-Alday

et al. 2013

Circ J

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“…Çocuklarda ILR kullanımı ile ilgili küçük bir seri çalışması ve birkaç olgu sunumu bulunmaktadır (4)(5)(6)(7)(11)(12)(13)(14). ILR'nin tanıdaki faydası kıyaslandığında az sayıdaki çocuk çalışmasında %50, yetişkin çalışmalarında ise %95 gibi yüksek bir değer bulunmuştur (5)(6)(7)(8)11). ILR kullanmada hasta seçimi, yüksek tanısal fayda sağlamak için son derece önemlidir.…”

Section: Discussionunclassified

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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The implantable loop recorder in children

Cited by 22 publications

References 20 publications

Long‐Term Insertable Loop Monitors: How Much Should We Watch to Get an Answer (Diagnosis)?

Long‐Term Insertable Loop Monitors: How Much Should We Watch to Get an Answer (Diagnosis)?

Implantable Loop Recorder Allows an Etiologic Diagnosis in One-Third of Patients

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

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