keyword
https://read.qxmd.com/read/38508296/predictors-of-pacemaker-requirement-in-patients-receiving-implantable-loop-recorders-for-unexplained-syncope-a-systematic-review-and-meta-analysis
#1
JOURNAL ARTICLE
Jeremy William, Shane Nanayakkara, David Chieng, Hariharan Sugumar, Liang-Han Ling, Hitesh Patel, Justin Mariani, Sandeep Prabhu, Peter M Kistler, Aleksandr Voskoboinik
BACKGROUND: Implantable loop recorders (ILR) are increasingly used to evaluate patients with unexplained syncope. Identification of all predictors of bradycardic syncope and consequent permanent pacemaker (PPM) insertion is of substantial clinical interest, as patients in the highest-risk category may benefit from upfront pacemaker insertion. OBJECTIVES: We performed a systematic review and meta-analysis to identify risk predictors for PPM insertion in ILR recipients with unexplained syncope...
March 18, 2024: Heart Rhythm: the Official Journal of the Heart Rhythm Society
https://read.qxmd.com/read/38493471/an-expert-opinion-of-the-heart-rhythm-section-of-the-polish-cardiac-society-and-professionals-from-the-polish-neurological-society-on-evidence-driven-implementation-of-implantable-loop-recorders-in-poland
#2
JOURNAL ARTICLE
Michał A Karliński, Marcin Grabowski, Maciej Kempa, Michał M Farkowski, Jarosław Sławek, Konrad Rejdak, Przemysław Mitkowski, Tomasz Hryniewiecki, Agnieszka Słowik
No abstract text is available yet for this article.
March 17, 2024: Kardiologia Polska
https://read.qxmd.com/read/38458509/arrhythmia-detection-using-an-implantable-loop-recorder-after-a-negative-electrophysiology-study-in-brugada-syndrome-observations-from-a-multicenter-international-registry
#3
JOURNAL ARTICLE
Eusebio García-Izquierdo, Chiara Scrocco, Julián Palacios-Rubio, Amira Assaf, Tomás Ripoll-Vera, Iván Hernandez-Betancor, Pablo Ramos-Ruiz, Antonio Melero-Pita, Melodie Segura-Domínguez, Diego Jiménez-Sánchez, Victor Castro-Urda, Jorge Toquero-Ramos, Sing-Chien Yap, Elijah R Behr, Ignacio Fernández-Lozano
BACKGROUND: Risk stratification in Brugada syndrome (BrS) remains controversial. In this respect, the role of electrophysiology study (EPS) has been subject of debate. In some centers, it is common practice to use an implantable loop recorder (ILR) after a negative EPS to help risk stratification. However, the diagnostic value of this approach has never been specifically addressed. OBJECTIVE: To describe the baseline characteristics and the main findings of a diagnostic work-up strategy using an ILR after a negative EPS in BrS...
March 6, 2024: Heart Rhythm: the Official Journal of the Heart Rhythm Society
https://read.qxmd.com/read/38445836/implantable-loop-recorders-in-patients-with-brugada-syndrome-the-bruloop-study
#4
JOURNAL ARTICLE
Marco Bergonti, Frederic Sacher, Elena Arbelo, Lia Crotti, Avi Sabbag, Michela Casella, Johan Saenen, Andrea Rossi, Cinzia Monaco, Luigi Pannone, Paolo Compagnucci, Vincenzo Russo, Eyal Heller, Amato Santoro, Paola Berne, Antonio Bisignani, Enrico Baldi, Olivier Van Leuven, Federico Migliore, Lorenzo Marcon, Federica Dagradi, Irene Sfondrini, Federico Landra, Angelo Comune, María Cespón-Fernández, Martina Nesti, Francesco Santoro, Michele Magnocavallo, Alessandro Vicentini, Sergio Conti, Valentina Ribatti, Pedro Brugada, Carlo de Asmundis, Josep Brugada, Claudio Tondo, Peter J Schwartz, Michel Haissaguerre, Angelo Auricchio, Giulio Conte
BACKGROUND AND AIMS: Available data on continuous rhythm monitoring by implantable loop recorders (ILRs) in patients with Brugada syndrome (BrS) are scarce. The aim of this multi-centre study was to evaluate the diagnostic yield and clinical implication of a continuous rhythm monitoring strategy by ILRs in a large cohort of BrS patients and to assess the precise arrhythmic cause of syncopal episodes. METHODS: A total of 370 patients with BrS and ILRs (mean age 43...
March 6, 2024: European Heart Journal
https://read.qxmd.com/read/38435380/implantable-loop-recorder-in-brugada-syndrome-insights-from-a-single-center-experience
#5
JOURNAL ARTICLE
Gianmarco Arabia, Manuel Cerini, Angelica Cersosimo, Paolo Vinciguerra, Emiliano Calvi, Gianfranco Mitacchione, Mohamed Aboelhassan, Daniele Giacopelli, Antonio Curnis
BACKGROUND: This study aimed to investigate the characteristics and outcomes of patients diagnosed with Brugada syndrome (BrS) who underwent implantable loop recorder (ILR) insertion during routine clinical activity. METHODS: We conducted a comprehensive screening of all consecutive patients diagnosed with BrS at our institution. We analyzed baseline clinical characteristics, arrhythmic findings, and outcomes. RESULTS: Out of 147 BrS patients, 42 (29 %) received an ILR, 13 (9 %) underwent implantable cardioverter-defibrillator (ICD) placement, and 92 patients (63 %) continued regular cardiological follow-up...
April 2024: IJC Heart & Vasculature
https://read.qxmd.com/read/38402528/predictors-of-pacemaker-requirement-in-patients-with-implantable-loop-recorder-and-unexplained-syncope-a-systematic-review-and-meta-analysis
#6
REVIEW
Moein Zangiabadian, Kiarash Soltani, Yasaman Gholinejad, Reyhane Yahya, Shayan Bastami, Mohammad Ali Akbarzadeh, Mohammad Sharifian Ardestani, Azadeh Aletaha
Identifying the underlying cause of unexplained syncope is crucial for appropriate management of recurrent syncopal episodes. Implantable loop recorders (ILRs) have emerged as valuable diagnostic tools for monitoring patients with unexplained syncope. However, the predictors of pacemaker requirement in patients with ILR and unexplained syncope remain unclear. In this study, we shed light on these prognostic factors. PubMed/MEDLINE, EMBASE, Web of Science, and Cochrane CENTRAL were systematically searched until May 04, 2023...
February 2024: Clinical Cardiology
https://read.qxmd.com/read/38402334/asystole-on-loop-recorder-in-patients-with-unexplained-syncope-and-negative-tilt-testing-age-distribution-and-clinical-predictors
#7
JOURNAL ARTICLE
Vincenzo Russo, Angelo Comune, Erika Parente, Anna Rago, Andrea Antonio Papa, Gerardo Nigro, Michele Brignole
BACKGROUND: Approximately 50% of patients with unexplained syncope and negative head-up tilt test (HUTT) who have an electrocardiogram (ECG) documentation of spontaneous syncope during implantable loop recorder (ILR) show an asystolic pause at the time of the event. OBJECTIVE: The aim of the study was to evaluate the age distribution and clinical predictors of asystolic syncope detected by ILR in patients with unexplained syncope and negative HUTT. METHODS: This research employed a retrospective, single-center study of consecutive patients...
February 25, 2024: Clinical Autonomic Research: Official Journal of the Clinical Autonomic Research Society
https://read.qxmd.com/read/38385915/aging-and-susceptibility-to-cardioinhibitory-response-in-vasovagal%C3%A2-syncope-a-physiological-or-methodological-issue
#8
EDITORIAL
David G Benditt, MaryAnn Goldstein
No abstract text is available yet for this article.
January 23, 2024: JACC. Clinical Electrophysiology
https://read.qxmd.com/read/38379634/cardioneuroablation-as-a-strategy-to-prevent-pacemaker-implantation-in-young-patients-with-vasovagal-syncope
#9
JOURNAL ARTICLE
Jacqueline Joza, Luiz Gustavo Bravosi da Rosa, Ahmed Alturki, Valeria Anglesio, Paula Sanchez-Somonte, Vladimir Poletaev, Martin Bernier, Atul Verma, Vidal Essebag
BACKGROUND: Cardioneuroablation (CNA) is an ablation technique that targets epicardial ganglionic plexi to reduce syncope burden and avoid pacemaker implantation in patients with cardioinhibitory vasovagal syncope (VVS). This study aims to demonstrate feasibility and safety of CNA in high-risk refractory VVS patients using continuous monitoring with an implantable loop recorder (ILR). METHODS: Data was collected prospectively for patients undergoing CNA. Patients were required to have recurrent syncope with documented asystole, refractory to conservative measures...
April 2024: IJC Heart & Vasculature
https://read.qxmd.com/read/38341627/false-positive-alarms-in-patients-with-implantable-loop-recorder-followed-by-remote-monitoring-a-systematic-review
#10
REVIEW
Simona Covino, Vincenzo Russo
Remote Monitoring (RM) has been shown to provide useful information about arrhythmic events in patients with implantable loop recorders (ILRs), however there is few and conflicting data about the false positive (FP) alarms burden and characteristics among ILR recipients. The aim of the present systematic review was to evaluate incidence and characteristics of FP alarms among ILR patients followed by RM. We developed a systematic research in Embase, MEDLINE and PubMed databases and selected all papers focused on false positive ILR transmissions published from June 01, 2013 to June 01, 2023...
February 11, 2024: Pacing and Clinical Electrophysiology: PACE
https://read.qxmd.com/read/38340330/temporal-relationship-between-hemodynamic-changes-and-activation-of-closed-loop-stimulation-during-tilt-induced-vasovagal-syncope
#11
JOURNAL ARTICLE
Vincenzo Russo, Marco Tomaino, Erika Parente, Angelo Comune, Daniele Giacopelli, Paola Napoli, Alessio Gargaro, Michele Brignole
AIMS: Dual-chamber pacemaker with Closed Loop Stimulation (CLS) mode is effective in reducing syncopal recurrences in patients with asystolic vasovagal syncope (VVS). In this study we explored hemodynamic and temporal relationship of CLS during tilt-induced vasovagal reflex. METHODS: Twenty patients underwent tilt test under video recording 3.9 years after CLS pacemaker implantation. RESULTS: Three patients were excluded from the analysis because of no VVS induced by tilt test (n=1) and protocol violation (n=2)...
February 10, 2024: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://read.qxmd.com/read/38326152/bradycardia-risk-stratification-with-implantable-loop-recorder-after-unexplained-syncope
#12
JOURNAL ARTICLE
Guillaume De Ciancio, Nicolas Sadoul, Nefissa Hammache, Nathalie Pace, Mathieu Echivard, Luc Freysz, Hugues Blangy, Jean Marc Sellal, Arnaud Olivier
BACKGROUND: An implantable loop recorder is an effective tool for diagnosing unexplained syncope. However, after a first episode in non-high-risk patients, the usefulness of implantable loop recorder implantation remains unclear. AIMS: To analyse relevant risk factors for significant bradycardia in order to identify patients who do or do not benefit from implantable loop recorder implantation. Also, to study whether implantable loop recorder implantation with remote monitoring is associated with less recurrence of traumatic syncope...
January 19, 2024: Archives of Cardiovascular Diseases
https://read.qxmd.com/read/38294864/the-beneficial-role-of-telemedicine-for-arrhythmic-risk-stratification-in-asymptomatic-brugada-syndrome-an-exemplary-case-report
#13
JOURNAL ARTICLE
Vincenzo Ezio Santobuono, Maria Cristina Carella, Andrea Igoren Guaricci, Eugenio Carulli, Paolo Basile, Marco Maria Dicorato, Marco Matteo Ciccone, Cinzia Forleo
Telemedicine and remote monitoring devices, including implantable loop recorders (ILR), are increasingly adopted in the cardiologic setting. These are valuable tools in the arrhythmic stratification of patients at risk of sudden cardiac death, providing a tailored therapeutic management to prevent lethal arrhythmias. We report a case of an asymptomatic 18-year-old boy with a family history of syncope and cardiac arrest, who had a diagnosis of Brugada syndrome with an inducible type 1 pattern and carrier of a missense mutation of the SCN5A gene...
January 31, 2024: Telemedicine Journal and E-health
https://read.qxmd.com/read/38243997/the-rate-of-asystolic-reflex-syncope-is%C3%A2-not-influenced-by-age
#14
JOURNAL ARTICLE
Michele Brignole, Antonella Groppelli, Vincenzo Russo, Artur Fedorowski, Gert van Dijk, Paolo Alboni
BACKGROUND: The head-up tilt test (HUT) and other evidence suggest that the vagal effect on the heart decreases with age. OBJECTIVES: The main aim of the study was to assess whether this age effect also affects the rate of asystole in spontaneous reflex syncope (RS). METHOD: We performed an analysis of pooled individual data from 4 studies that recruited patients ≥40 years of age affected by certain or suspected RS who received an implantable loop recorder (ILR) and reported follow-up data on syncope recurrence...
December 20, 2023: JACC. Clinical Electrophysiology
https://read.qxmd.com/read/38096953/multimodality-imaging-in-patients-with-implantable-loop-recorders-tips-and-tricks
#15
REVIEW
Dinea Bučić, Maja Hrabak-Paar
An implantable loop recorder (ILR) is a leadless rectangular device used for prolonged electrocardiographic monitoring for up to 3 years. This miniaturized device, inserted subcutaneously, allows clinicians to investigate possible cardiac rhythm disturbances in patients suffering from recurrent unexplained syncope. As the age of the population increases rapidly and the number of ILR patients amplifies, the clinical significance of ILRs is undeniable. Although radioopaque and easily seen on plain chest radiographs and other imaging modalities, ILRs may represent a challenge for clinicians and radiologists to recognize their classic appearance and differentiate them from numerous other cardiac devices...
December 12, 2023: Hellenic Journal of Cardiology: HJC
https://read.qxmd.com/read/37921260/long-term-outcomes-of-patients-with-ventricular-arrhythmias-and-negative-programmed-ventricular-stimulation-followed-with-implantable-loop-recorders-impact-of-delayed-enhancement-cardiac-magnetic-resonance-imaging
#16
JOURNAL ARTICLE
Trisha Gupte, Jackson J Liang, Rakesh Latchamsetty, Thomas Crawford, Krit Jongnarangsin, Frank Bogun, Michael Ghannam
BACKGROUND: Programed ventricular stimulation (PVS) is a risk stratification tool in patients at risk for adverse arrhythmia outcomes. Patients with negative PVS may yet be at risk for adverse arrhythmia-related events, particularly in the presence of symptomatic ventricular arrhythmias (VA). OBJECTIVE: To investigate the long-term outcomes of real-world patients with symptomatic VA without indication for device therapy and negative PVS, and to examine the role of cardiac scaring on arrhythmia recurrence...
December 2023: Journal of Cardiovascular Electrophysiology
https://read.qxmd.com/read/37885375/remote-monitoring-of-implantable-cardiac-monitors-in-patients-with-unexplained-syncope-predictors-of-false-positive-alert-episodes
#17
JOURNAL ARTICLE
Vincenzo Russo, Simona Covino, Valentina De Pasquale, Erika Parente, Angelo Comune, Anna Rago, Andrea Antonio Papa, Ernesto Ammendola, Andrea Spadaro Guerra, Paola Napoli, Paolo Golino, Gerardo Nigro
BACKGROUND: Remote monitoring is recommended for patients with implantable cardiac monitors (ICMs), but compared to other cardiac implantable devices, ICMs are less accurate and transmit a higher number of alerts. OBJECTIVE: The aim of this study was to investigate the predictors of false-positive (FP) arrhythmic alerts in patients with unexplained syncope who were implanted with ICM and followed by an automatic remote monitoring system. METHODS: We retrospectively evaluated all consecutive patients who received a long-sensing vector ICM for unexplained syncope between January 2019 to September 2021 at our Syncope Unit...
October 27, 2023: Pacing and Clinical Electrophysiology: PACE
https://read.qxmd.com/read/37875800/syncope-and-cannabis-hypervagotonia-from-chronic-abuse-a-case-report-and-literature-review
#18
REVIEW
Marco Licciardi, Elena Utzeri, Maria Francesca Marchetti, Vincenzo Nissardi, Giovanni Cecchetto, Massimo Montisci, Roberta Montisci
BACKGROUND: Cannabis is the most consumed drug worldwide and number of users is increasing, particularly among youth. Moreover, cannabis potential therapeutic properties have renewed interest to make it available as a treatment for a variety of conditions. Albeit rarely, cannabis consumption has been associated with cardiovascular diseases such as arrhythmias, myocardial infarction (MI) and potentially sudden death. CASE PRESENTATION: A 24-year-old woman presented to the emergency department sent by her cardiologist because of a recent finding of a 16 seconds asystole on the implantable loop recorder (ILR) she implanted 7 months before for recurrent syncopes...
October 25, 2023: BMC Cardiovascular Disorders
https://read.qxmd.com/read/37862913/identification-of-acute-st-elevation-myocardial-infarction-via-remote-implantable-loop-recorder-monitor
#19
JOURNAL ARTICLE
Sergio F Cossú, Jessica Kramer, Theresa Maitz, Akhil Kher, Lekha Racharla
The indications for the use of implantable loop recorders include the evaluation of unexplained palpitations and syncope, embolic stroke of undetermined source, dizziness and lightheadedness presumed to be due to arrhythmogenic etiology, and for atrial fibrillation to guide antiarrhythmic drug therapy or catheter ablation efficacy. Long-term monitoring is especially beneficial if symptoms occur sporadically or are asymptomatic in nature. This is the first case to our knowledge of an acute ST-elevation myocardial infarction which was identified from remote monitoring of an implantable loop recorder through a device clinic...
October 7, 2023: Journal of Electrocardiology
https://read.qxmd.com/read/37388638/remote-monitoring-of-implantable-loop-recorders-reduces-time-to-diagnosis-in-patients-with-unexplained-syncope-a-multicenter-propensity-score-matched-study
#20
JOURNAL ARTICLE
Vincenzo Russo, Anna Rago, Nicola Grimaldi, Raffaele Chianese, Aniello Viggiano, Giuliano D'Alterio, Diego Colonna, Agostino Mattera Iacono, Andrea Antonio Papa, Andrea Spadaro Guerra, Alessio Gargaro, Antonio Rapacciuolo, Berardo Sarubbi, Antonio D'Onofrio, Gerardo Nigro
BACKGROUND: There are little data on remote monitoring (RM) of implantable loop recorders (ILRs) in patients with unexplained syncope and whether it confers enhanced diagnostic power. OBJECTIVE: To evaluate the effect of RM in ILR recipients for unexplained syncope for early detection of clinically relevant arrhythmias by comparison with a historical cohort with no RM. METHODS: SyncRM is a propensity score (PS)-matched study prospectively including 133 consecutive patients with unexplained syncope and ILR followed up by RM (RM-ON group)...
2023: Frontiers in Cardiovascular Medicine
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