Key result
Implantable cardiac monitors provide continuous ECG monitoring for up to 36 months and have current and emerging roles in evaluating unexplained syncope, palpitations, and asymptomatic arrhythmias.
Why the study?
What are the current and emerging clinical indications for implantable cardiac monitors?
What are the current and emerging clinical indications for implantable cardiac monitors?
Implantable cardiac monitors have established roles in evaluating unexplained syncope and palpitations, and emerging utility in long-term monitoring of asymptomatic arrhythmias like atrial fibrillation.
Supports ICM use in unexplained syncope; leaves open prospective trials to define emerging arrhythmia indications.
Implantable cardiac monitors (ICMs) continuously monitor the patient's electrocardiogram and perform real-time analysis of the heart rhythm, for up to 36 months. The current clinical use of ICMs involves the evaluation of transitory symptoms of possible arrhythmic origin, such as unexplained syncope and palpitations. Moreover, ICMs can also be used for the evaluation of difficult cases of epilepsy and unexplained falls, though current indications for their application in these sectors are less clearly defined. Finally, the ability of new-generation ICMs to automatically record arrhythmic episodes suggests that these devices could also be used to study asymptomatic arrhythmias, and thus could be proposed for the long-term evaluation of the total (symptomatic and asymptomatic) arrhythmic burden in patients at risk of arrhythmic events. In particular, ICMs may have an emerging role in the management of patients with atrial fibrillation and in those at risk of ventricular arrhythmias.
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Giada et al. (2012) conducted a review in Arrhythmias, unexplained syncope, palpitations. Implantable cardiac monitors (ICMs) was evaluated. Implantable cardiac monitors provide continuous ECG monitoring for up to 36 months and have current and emerging roles in evaluating unexplained syncope, palpitations, and asymptomatic arrhythmias.
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