التفاصيل البيبلوغرافية
| العنوان: |
Implantable loop recorders in patients with heart disease: comparison between patients with and without syncope |
| المؤلفون: |
Jolien W Roos-Hesselink, Michelle Michels, Tamas Szili-torok, Judith M A Verhagen, Rohit E Bhagwandien, Sing-Chien Yap, DOMINIC THEUNS, Amira Assaf, Rafi Sakhi |
| المصدر: |
Open Heart, Vol 8, Iss 2 (2021) |
| بيانات النشر: |
BMJ Publishing Group, 2021. |
| سنة النشر: |
2021 |
| المجموعة: |
LCC:Diseases of the circulatory (Cardiovascular) system |
| مصطلحات موضوعية: |
Diseases of the circulatory (Cardiovascular) system, RC666-701 |
| الوصف: |
Objective Patients with heart disease are at increased risk for sudden cardiac death. Guidelines recommend an implantable loop recorder (ILR) for symptomatic patients when symptoms are sporadic and possibly arrhythmia-related. In clinical practice, an ILR is mainly used in patients with unexplained syncope. We aimed to compare the clinical value of an ILR in patients with heart disease and a history of syncope versus those with non-syncopal symptoms.Methods In this observational single-centre study, we included symptomatic patients with heart disease who received an ILR. The primary endpoint was an actionable event which was defined as an arrhythmic event leading to a change in clinical management. The secondary endpoint was an event leading to device implantation.Results One hundred and twenty patients (mean age 47±17 years, 49% men) were included. The underlying disease substrate was inherited cardiomyopathy (31%), congenital heart disease (28%), channelopathy (23%) and other (18%). Group A consisted of 43 patients with prior syncope and group B consisted of 77 patients with palpitations and/or near-syncope. The median follow-up duration was 19 months (IQR 8–36). The 3-year cumulative event rate was similar between groups with regard to the primary endpoint (38% vs 39% for group A and B, respectively, logrank p=0.54). There was also no difference in the 3-year cumulative rate of device implantation (21% vs 13% for group A and B, respectively, logrank p=0.65).Conclusion In symptomatic patients with heart disease, there is no difference in the yield of an ILR in patients presenting with or without syncope. |
| نوع الوثيقة: |
article |
| وصف الملف: |
electronic resource |
| اللغة: |
English |
| تدمد: |
2053-3624 |
| Relation: |
https://openheart.bmj.com/content/8/2/e001748.full; https://doaj.org/toc/2053-3624 |
| DOI: |
10.1136/openhrt-2021-001748 |
| URL الوصول: |
https://doaj.org/article/fd2c37e41fd4467eb9ef5494a3b0b12e |
| رقم الانضمام: |
edsdoj.fd2c37e41fd4467eb9ef5494a3b0b12e |
| قاعدة البيانات: |
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