Why the study?
Does an implantable loop recorder improve time to ECG diagnosis in patients presenting acutely with recurrent, unexplained syncope?
Population
201 eligible patients presenting acutely with recurrent, unexplained syncope, median age 74 years, 54%…
Comparison
Reveal Plus implantable loop recorder (ILR) vs Conventional investigation
Design
RCT, Randomised after a basic clinical workup
Follow-up
mean 276+/-134 days (at least 6 months)
Authors
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Supports early ILR use in recurrent unexplained syncope; confirms diagnostic superiority versus conventional monitoring in RCTs.
Does an implantable loop recorder improve time to ECG diagnosis in patients presenting acutely with recurrent, unexplained syncope?
In patients with recurrent unexplained syncope, early use of an implantable loop recorder significantly increases the rate of ECG diagnosis and reduces subsequent investigations and hospital costs compared to conventional investigation.
David Farwell (2004) studied this question.
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