The use of monitoring strategies in patients with unexplained syncope: Role of the external and implantable loop recorder

Clinical Autonomic Research

Volumn 14, Issue SUPPL. 1, 2004, Pages

  Krahn, Andrew D ^a,b   Klein, George J ^a   Yee, Raymond ^a   Skanes, Allan C ^a  

^a UNIVERSITY OF WESTERN ONTARIO   (Canada)

^b LONDON HEALTH SCIENCES CENTRE   (Canada)

Author keywords

Diagnosis; Monitoring loop recorder; Syncope

Indexed keywords

AMBULATORY MONITORING; CARDIOVASCULAR FUNCTION; CLINICAL FEATURE; DIAGNOSTIC ACCURACY; DIAGNOSTIC PROCEDURE; DIAGNOSTIC VALUE; ELECTROCARDIOGRAPHY MONITORING; ELECTROPHYSIOLOGY; HEART CONDUCTION; HOLTER MONITORING; HUMAN; IMPLANT; PATIENT CARE; PATIENT MONITORING; REVIEW; SYNCOPE; TILT TABLE TEST; TREATMENT PLANNING; ELECTROCARDIOGRAPHY; EQUIPMENT DESIGN; EVALUATION; INSTRUMENTATION; PROSTHESES AND ORTHOSES; STANDARD;

ELECTROCARDIOGRAPHY, AMBULATORY; EQUIPMENT DESIGN; HUMANS; PROSTHESES AND IMPLANTS; SYNCOPE;

EID: 8644292430     PISSN: 09599851     EISSN: None     Source Type: Journal    
DOI: 10.1007/s10286-004-1008-y     Document Type: Review

References (29)

1. Alboni P, Brignole M, Menozzi C, Raviele A, Del Rosso A, Dinelli M, Solano A, Bottom N (2001) Diagnostic value of history in patients with syncope with or without heart disease. J Am Coll Cardiol 37:1921-1928
2. Bass EB, Curtiss EI, Arena VC, Hanusa BH, Cecchetti A, Karpf M, Kapoor WN (1990) The duration of Holter monitoring in patients with syncope. Is 24 hours enough? Arch Intern Med 150: 1073-1078
3. Brignole M, Menozzi C, Moya A, Garcia-Civera R, Mont L, Alvarez M, Errazquin F, Beiras J, Bottoni N, Donateo P (2001) Mechanism of Syncope in Patients With Bundle Branch Block and Negative Electrophysiological Test. Circulation 104:2045-2050
4. Brown AP, Dawkins KD, Davies JG (1987) Detection of arrhythmias: use of a patient-activated ambulatory electrocardiogram device with a solid-state memory loop. Br Heart J 58: 251-253
5. Cumbee SR, Pryor RE, Linzer M (1990) Cardiac loop ECG recording: a new noninvasive diagnostic test in recurrent syncope. South Med J 83:39-43
6. Kapoor WN (1990) Evaluation and outcome of patients with syncope. Medicine (Baltimore) 69:160-175
7. Kapoor WN, Hammill SC, Gersh BJ (1989) Diagnosis and natural history of syncope and the role of invasive electrophysiologic testing. Am J Cardiol 63:730-734
8. Kapoor WN, Karpf M, Wieand S, Peterson JR, Levey GS (1983) A prospective evaluation and follow-up of patients with syncope. N Engl J Med 309: 197-204
9. Kenny RA, Krahn AD (1999) Implantable loop recorder: evaluation of unexplained syncope. Heart 81: 431-433
10. Klein GJ, Gersh BJ, Yee R (1995) Electrophysiological testing. The final court of appeal for diagnosis of syncope? Circulation 92:1332-1335
11. Krahn AD, Klein GJ, Fitzpatrick A, Seidl K, Zaidi A, Skanes A, Yee R (2002) Predicting the outcome of patients with unexplained syncope undergoing prolonged monitoring. Pacing Clin Electrophysiol 25:37-41
12. Krahn AD, Klein GJ, Yee R, Hoch JS, Skanes AC (2003) Cost Implications of Testing Strategy in Patients with Syncope: Randomized Assessment of Syncope Trial. J Am Coll Cardiol 42: 495-501
13. Krahn AD, Klein GJ, Yee R, Norris C, (1998) Final results from a pilot study with an implantable loop recorder to determine the etiology of syncope in patients with negative noninvasive and invasive testing. Am J Cardiol 82: 117-119
14. Krahn AD, Klein GJ, Yee R, Norris C (1997) Maturation of the sensed electrogram amplitude over time in a new subcutaneous implantable loop recorder. Pacing Clin Electrophysiol 20:1686-1690
15. Krahn AD, Klein GJ, Yee R, Skanes AC (2001) Randomized Assessment of Syncope Trial: Conventional Diagnostic Testing Versus a Prolonged Monitoring Strategy. Circulation 104:46-51
16. Krahn AD, Klein GJ, Yee R, Takle-Newhouse T, Norris C (1999) Use of an extended monitoring strategy in patients with problematic syncope. Reveal Investigators. Circulation 99:406-410
17. Kurbaan AS, Sutton R (2001) Management of syncope: head-up tilt test or electrophysiological study? Eur Heart J 22:806-808
18. Linzer M, Pritchett EL, Pontinen M, McCarthy E, Divine GW (1990) Incremental diagnostic yield of loop electrocardiographic recorders in unexplained syncope. Am J Cardiol 66: 214-219
19. Linzer M, Yang EH, Estes NA, Wang P, Vorperian VR, Kapoor WN (1997) Diagnosing syncope. Part 2: Unexplained syncope. Clinical Efficacy Assessment Project of the American College of Physicians (see comments). Ann Intern Med 127:76-86
20. Manolis AS, Linzer M, Salem D, Estes NA (1990) Syncope: current diagnostic evaluation and management (see comments). Ann Intern Med 112:850-863
21. Menozzi C, Brignole M, Garcia-Civera R, Moya A, Botto G, Tercedor L, Migliorini R, Navarro X (2002) Mechanism of syncope in patients with heart disease and negative electrophysiologic test. Circulation 105:2741-2745
22. Morady F, Shen E, Schwartz A, Hess D, Bhandari A, Sung RJ, Scheinman MM (1983) Long-term follow-up of patients with recurrent unexplained syncope evaluated by electrophysiologic testing. J Am Coll Cardiol 2:1053-1059
23. Moya A, Brignole M, Menozzi C, Garcia-Civera R, Tognarini S, Mont L, Botto G, Giada F, Cornacchia D (2001) Mechanism of Syncope in Patients With Isolated Syncope and in Patients With Tilt-Positive Syncope. Circulation 104:1261-1267
24. Sivakumaran S, Krahn AD, Klein GJ, Finan J, Yee R, Renner S, Skanes AC (2003) A prospective randomized comparison of loop recorders versus Holter monitors in patients with syncope or presyncope. Am J Med 115:1-5
25. Sra JS, Anderson AJ, Sheikh SH, Avitall B, Tchou PJ, Troup PJ, Gilbert CJ, Akhtar M, Jazayeri MR (1991) Unexplained syncope evaluated by electrophysiologic studies and head-up tilt testing. Ann Intern Med 114:1013-1019
26. Sutton R, Bloomfield DM (1999) Indications, methodology, and classification of results of tilt-table testing. Am J Cardiol 84:10Q-19Q
27. Waktare JE, Malik M (1997) Holter, loop recorder, and event counter capabilities of implanted devices. Pacing Clin Electrophysiol 20:2658-2669
28. Zaidi A, Clough P, Cooper P, Scheepers B, Fitzpalrick AP (2000) Misdiagnosis of epilepsy: many seizure-like attacks have a cardiovascular cause. J Am Coll Cardiol 36:181-184
29. Zaidi A, Clough P, Mawer G, Fitzpatrick A (1999) Accurate diagnosis of convulsive syncope: role of an implantable subcutaneous ECG monitor. Seizure 8:184-186