Clinical utility of implantable loop recorders

Postgraduate Medicine

Volumn 126, Issue 2, 2014, Pages 30-37

  Houmsse, Mahmoud ^a   Ishola, Abiodun ^a   Daoud, Emile G ^a  

^a THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER   (United States)

Author keywords

Atrial fibrillation; Cryptogenic; Implantable loop recorder; Palpitation; Stroke; Syncope

Indexed keywords

ATRIAL FIBRILLATION; ATRIOVENTRICULAR BLOCK; BRADYCARDIA; CAROTID SINUS; CEREBROVASCULAR ACCIDENT; COST EFFECTIVENESS ANALYSIS; DIAGNOSTIC ACCURACY; ELECTROCARDIOGRAPHY; FAINTNESS; HEART ARRHYTHMIA; HEART INFARCTION; HEART PALPITATION; HEART RATE AND RHYTHM; HOLTER MONITOR; HUMAN; HYPERSENSITIVITY; IMPLANTABLE CARDIAC MONITOR; MEDICAL DEVICE COMPLICATION; OUTCOME ASSESSMENT; REVIEW; SEIZURE; SKIN INFECTION; TACHYCARDIA; THROMBOEMBOLISM; TISSUE REACTION; DIFFERENTIAL DIAGNOSIS; ELECTRODE IMPLANT; EQUIPMENT; METHODOLOGY; RECURRENT DISEASE; RISK ASSESSMENT;

ARRHYTHMIAS, CARDIAC; DIAGNOSIS, DIFFERENTIAL; ELECTROCARDIOGRAPHY, AMBULATORY; ELECTRODES, IMPLANTED; HUMANS; MYOCARDIAL INFARCTION; RECURRENCE; RISK ASSESSMENT; SEIZURES; STROKE; SYNCOPE;

EID: 84900561465     PISSN: 00325481     EISSN: 19419260     Source Type: Journal    
DOI: 10.3810/pgm.2014.03.2738     Document Type: Review

References (36)

1. Moya A, Sutton R, Ammirati F, et al. Guidelines for the diagnosis and management of syncope (version 2009). The Task Force for the Diagnosis and Management of Syncope of the European Society of Cardiology (ESC). Eur Heart J. 2009; 30(21): 2631-2671.
2. Seidl K, Rameken M, Breunung S, et al; on behalf of the Reveal- Investigators. Diagnostic assessment of recurrent unexplained syncope with a new subcutaneously implantable loop recorder. Europace. 2000; 2(3): 256-262.
3. Brignole M, Sutton R, Menozzi C, et al. Early application of an implantable loop recorder allows effective specific therapy in patients with recurrent suspected neurally mediated syncope. Eur Heart J. 2006; 27(9): 1085-1092.
4. Bloch Thomsen PE, Jons C, Pekka Raatikainen MJ, et al. Long-term recording of cardiac arrhythmias with an implantable cardiac monitor in patients with reduced ejection fraction after acute myocardial infarction. The Cardiac Arrhythmias and Risk Stratification After Acute Myocardial Infarction (CARISMA) Study. Circulation. 2010; 122(13): 1258-1264.
5. Gang UJ, Jøns C, Jørgensen RM, et al. Risk markers of late high degree atrioventricular block in patients with left ventricular dysfunction after an acute myocardial infarction: a CARISMA substudy. Europace. 2011; 13(10): 1471-1477.
6. Krahn AD, Klein GL, Tee R, Skanes AC. Detection of asymptomatic arrhythmias in unexplained syncope. Am Heart J. 2004; 148(2): 326-332.
7. Ermis C, Zhu AX, Pham S, et al. Comparison of automatic and patient activated arrhythmia recordings by implantable loop recorders in the evaluation of syncope. Am J Cardiol. 2003; 92(7): 815-819.
8. Moya A, Brignole M, Sutton R, et al. Reproducibility of electrocardiographic findings in patients with neurally-mediated syncope. Am J Cardiol. 2008; 102(11): 1518-1523.
9. Krahn A, Klein G, Norris C, Yee R. The etiology of syncope in patients with negative tilt table and electrophysiologic testing. Circulation. 1995; 92(7): 1819-1824.
10. Krahn AD, Klein GJ, Yee R, Takle-Newhouse T, Norris C. Use of an extended monitoring strategy in patients with problematic syncope. Reveal Investigators. Circulation. 1999; 99(3): 406-410.
11. Thanavaro JL, Thanavaro S. The benefit of implantable loop recorders in the diagnosis of recurrent syncope. J Nurse Pract. 2009; 5(8): 607-612.
12. Kanjwal K, Figueredo VM, Karabin, Grubb BP. The implantable loop recorder: current uses, future directions. J Innov Cardiac Rhythm Manag. 2011; 2(3): 215-222.
13. Mittal S, Yang EH. Implantable loop recorder. Medscape, March 29, 2011.
14. Parry SW, Matthews IG. Implantable loop recorders in the investigation of unexplained syncope: a state of the art review. Heart. 2010; 96(20): 1611-1616.
15. Giada F, Gulizia M, Francese M, et al. Recurrent unexplained palpitations (RUP) study: comparison of implantable loop recorder versus conventional diagnostic strategy. J Am Coll Cardiol. 2007; 49(19): 1951-1956.
16. Kapoor WN. Evaluation and management of the patient with syncope. JAMA. 1992; 268(18): 2553-2560.
17. Linzer M, Yang EH, Estes NA III, Wang P, Vorperian VR, Kapoor WN. Diagnosing syncope. Part 2: Unexplained syncope. Clinical Efficacy Assessment Project of the American College of Physicians. Ann Intern Med. 1997; 127(1): 76-86.
18. Shukla GJ, Zimetbaum PJ. Syncope. Circulation. 2006; 113(16): e715-e717.
19. Krahn AD, Klein GJ, Skanes AC, Yee R. Insertable loop recorder use for detection of intermittent arrhythmias. Pacing Clin Electrophysiol. 2004; 27(5): 657-664.
20. Soteriades ES, Evans JC, Larson MG, et al. Incidence and prognosis of syncope. N Engl J Med. 2002; 347(12): 878-885.
21. Edvardsson N, Frykman V, van Mechelen R, Mitro P, Mohii-Oskarsson A, Pasquié JL. Use of an implantable loop recorder to increase the diagnostic yield in unexplained syncope: results from the PICTURE registry. Europace. 2011; 13(2): 262-269.
22. Brignole M, Menozzi C, Moya A, et al; International Study on Syncope of Uncertain Etiology (ISSUE) Investigators. Mechanism of syncope in patients with bundle branch block and negative electrophysiological test. Circulation. 2001; 104(17): 2045-2050.
23. Sposato LA, Klein FR, Jáuregui A, et al. Newly diagnosed atrial fibrillation after acute ischemic stroke and transient ischemic attack: importance of immediate and prolonged continuous cardiac monitoring. J Stroke Cerebrovasc Dis. 2012; 21(3): 210-216.
24. Jung W, Zvereva V, Rillig A, et al. How to use implantable loop recorders in clinical trials and hybrid therapy. J Interv Card Electrophysiol. 2011; 32(3): 227-232.
25. Hanke T, Charitos EI, Stierle U, et al. Twenty-four-hour Holter monitor follow-up does not provide accurate heart rhythm status after surgical atrial fibrillation ablation therapy-up to 12 months experience with a novel permanently implantable heart rhythm monitor device. Circulation. 2009; 120(suppl 1): S177-S184.
26. Hindricks G, Pokushalov E, Urban L, et al. Performance of a new leadless implantable cardiac monitor in detecting and quantifying atrial fibrillation: results of the XPECT trial. Circ Arrhythm Electrophysiol. 2010; 3(2): 141-147.
27. Pokushalov E, Romanov A, Corbucci G, et al. Use of an implantable monitor to detect arrhythmia recurrence and select patients for early repeat catheter ablation for atrial fibrillation: a pilot study. Circ Arrhythm Electrophysiol. 2011; 4(6): 823-831.
28. Kothari DS, Riddell F, Smith W, Voss J, Skinner JR. Digital implantable loop recorders in the investigation of syncope in children: benefits and limitations. Heart Rhythm. 2006; 3(11): 1306-1312.
29. Krahn A, Klein GJ, Yee R, Skanes AC. Randomized assessment of syncope trial. Conventional diagnostic testing versus a prolonged monitoring strategy. Circulation. 2001; 104(1): 46-51.
30. Farwell D, Freemantle N, Sulke N. The clinical impact of implantable loop recorders in patients with syncope. Eur Heart J. 2006; 27(3): 351-356.
31. Adams HP, Bendixen BH, Kappelle LJ, et al. Classification of subtype of acute ischemic stroke. Definitions for use in a multicenter clinical trial. TOAST. Trial of Org 10172 in Acute Stroke Treatment. Stroke. 1993; 24(1): 35-41.
32. Jabaudon D, Sztajzel J, Sievert K, et al. Usefulness of ambulatory 7-day ECG monitoring for the detection of atrial fibrillation and flutter after acute stroke and transient ischemic attack. Stroke. 2004; 35(7): 1647-1651.
33. Tayal AH, Tian M, Kelly KM, et al. Atrial fibrillation detected by mobile cardiac outpatient telemetry in cryptogenic TIA or stroke. Neurology. 2008; 71(21): 1696-1701.
34. Sinha AM, Diener HC, Morillo CA, et al. Cryptogenic Stroke and underlying Atrial Fibrillation (CRYSTAL AF): design and rationale. Am Heart J. 2010; 160(1): 36-41.
35. Botto GL, Padeletti L, Santini M, et al. Presence and duration of atrial fibrillation detected by continuous monitoring: crucial implications for the risk of thromboembolic events. J Cardiovasc Electrophysiol. 2009; 20(3): 241-248.
36. Zaidi A, Clough P, Cooper P, Scheepers B, Fitzpatrick AP. Misdiagnosis of epilepsy: many seizure-like attacks have a cardiovascular cause. J Am Coll Cardiol. 2000; 36(1): 181-184.