November 28, 2005European Heart Journal
The clinical impact of implantable loop recorders in patients with syncope
Why the study?
Does an implantable loop recorder improve ECG diagnosis and clinical outcomes in patients with recurrent unexplained syncope?
Population
201 patients presenting acutely with recurrent unexplained syncope following a basic clinical work-up…
Comparison
Implantable loop recorder (Reveal Plus ILR) vs Conventional investigation and management
Design
RCT, randomized
Follow-up
median 17 months (IQ range 9-23)
Authors
Discussion
Loading...
Member takes
Implication
ILR markedly raises ECG diagnostic yield in unexplained syncope; extends randomized evidence supporting early ILR over conventional monitoring.
Structured PICO
Does an implantable loop recorder improve ECG diagnosis and clinical outcomes in patients with recurrent unexplained syncope?
P
Population
201 patients presenting acutely with recurrent unexplained syncope following a basic clinical work-up, median age 74, 54% female.
I
Intervention
Implantable loop recorder (Reveal Plus ILR)
C
Comparator
Conventional investigation and management
O
Outcome
ECG diagnosis
In patients with recurrent unexplained syncope, implantable loop recorders significantly increase the rate of ECG diagnosis and prolong the time to subsequent syncope compared to conventional management.
Cite This Study
Farwell et al. (2005) studied this question.