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- Title
Usefulness of an Implantable Loop Recorder in Patients with Syncope of an Unknown Cause.
- Authors
Gu Hyun Kang; Ju Hyeon Oh; Woo Jung Chun; Yong Hwan Park; Bong Gun Song; June Soo Kim; Young Keun On; Seung Jung Park; June Huh
- Abstract
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 who had an ILR implanted at our center because of recurrent unexplained syncope after extensive diagnostic tests between February 2006 and June 2011. Results: Diagnosis was confirmed in 10 (55.6%) of the 18 enrolled patients (13 males, 61±15 years). The confirmed diagnoses included sick sinus syndrome (n=6, 60%), advanced atrioventricular block (n=2, 20%) and ventricular tachyarrhythmia (n=2, 20%). The mean follow-up durations of the total study subjects and the diagnosed patients were 11.3±10.6 months and 5.6±9.2 months, respectively. Of the 10 diagnosed patients, 8 (80%) were diagnosed within 6 months of loop recorder implantation. Conclusion: ILR may be a valuable and effective diagnostic tool for patients with unexplained syncope.
- Subjects
SYNCOPE; ETIOLOGY of diseases; DISEASE relapse; CEREBRAL ventricles; MEDICAL records; CLINICAL trials; PATIENTS
- Publication
Yonsei Medical Journal, 2013, Vol 54, Issue 3, p590
- ISSN
0513-5796
- Publication type
Article
- DOI
10.3349/ymj.2013.54.3.590