insertable loop recorder

insertable loop recorder

Cardiology An implantable Pt-activated monitoring system that records subcutaneous EKGs in Pts with Sx suggestive of arrhythmia. See Holter monitoring.
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In a study of twenty-three patients with moderate to severe OSA who were each implanted with an insertable loop recorder, about 50% were observed to have frequent episodes of bradycardia and long pauses (complete heart block or sinus arrest) during sleep (9).
Severe bradyarrhythmias in patients with sleep apnoe: the effect of continuous positive airway pressure treatment: a long term evaluation using an insertable loop recorder // Eur.
Syncope Etiology Testing: Diagnostic Yield in Literature Test/Procedure Yield * History and physical (including carotid sinus massage) 49%-85% ECG 2%-11% Electrophysiology study (without structural heart disease) 11% Electrophysiology study (with structural heart disease) 49% Tilt table test (without structural heart disease) 11%-87% Ambulatory ECG monitors: Holter 2% External loop recorder (2-3 weeks' duration) 20% Insertable loop recorder (up to 14 months' duration) 65%-88% Neurologic work-up (head CT, carotid Doppler) 0%-4% * Based on average time to diagnosis of 5.
In practice, nurses now may more often encounter a patient who has had or will have implanted an insertable loop recorder (ILR), Reveal Plus[R].
Syncope Etiology Testing: Diagnostic Yield in Literature Test/Procedure Yield* History and physical (including carotid sinus massage) 49%-85% ECG 2%-11% Electrophysiology study (without structural heart disease) 11% Electrophysiology study (with structural heart disease) 49% Tilt table test (without structural heart disease) 11%-87% Ambulatory ECG monitors: Holter 2% External loop recorder (2-3 weeks' duration) 20% Insertable loop recorder (up to 14 months' duration 65%-88% Neurologic work-up (head CT, carotid Doppler) 0%-4% *Based on average time to diagnosis of 5.
A study published in a recent issue of the journal Circulation shows that patients who experience recurrent unexplained syncope (fainting) have a greater chance of being diagnosed if physicians use a Reveal Insertable Loop Recorder (ILR).