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  • Title: [Efficacy of implantable loop recorders in establishing symptom-rhythm correlation in patients with unexplained syncope].
    Author: Liu ZM, Liu ZP, Guo T.
    Journal: Zhonghua Xin Xue Guan Bing Za Zhi; 2006 Nov; 34(11):1009-12. PubMed ID: 17288766.
    Abstract:
    OBJECTIVE: To evaluate the efficacy of the implantable loop recorder (ILR) in establishing symptom-rhythm correlation in patients with unexplained syncope. METHODS: Implantable loop recorders (ILR, Reveal Plus(9526), Medtronic Inc.) were implanted in 10 patients [aged 14 - 78 (41 +/- 22) years, 6 female] with unexplained syncope from October 2002 to May 2005. Syncopal episodes were (4.5 +/- 1.4) patients. RESULTS: During the monitoring period [8 - 21 (15.3 +/- 3.6) months], there were 24 times syncopal episodes in 6 patients. A total of 211 arrhythmia events were documented by ILR in 7 patients and symptom-rhythm correlation could be established in these 7 patients. In 2 patients, there were no recurrent syncopes and no arrhythmia events could be recorded. In 1 patient, syncope was caused by reasons other than arrhythmia. CONCLUSION: ILR is useful in determining the presence or absence of an arrhythmia during symptoms of syncope when conventional diagnostic testing, such as electrocardiogram, Holter monitoring, and/or external loop recording, is inconclusive.
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