January 1, 2018Srce i krvni sudoviOpen Access

The evaluation and management of patients with syncope: Case report and overview of 2017 ACC/AHA/HRS guidelines

Q: What is the clinical evidence from this study?

Study design: Case Report. Population: Syncope and ischemic cardiomyopathy (n=1). Intervention: Implantable loop recorder (ILR) and Implantable cardioverter-defibrillator (ICD). Primary outcome: Detection of arrhythmia and delivery of appropriate therapy.

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Key result

An implantable loop recorder successfully diagnosed sustained monomorphic ventricular tachycardia in a patient with recurrent syncope and ischemic cardiomyopathy, leading to life-saving ICD therapy.

Population

A 57-year-old female with ischemic cardiomyopathy with mildly reduced systolic left ventricular function…

Design

Case_report

Authors

DKDejan Kojić NMNebojša M. Mujović

Discussion

Member takes

Overview

Hypothesis-generating for monitors in syncope with cardiomyopathy; prospective trials needed before routine adoption.

Study Design

Type

Case Report (n=1)

Multicenter

Structured PICO

Population

A 57-year-old woman with ischemic cardiomyopathy and mildly reduced left ventricular ejection fraction presenting with recurrent syncope.

Intervention

Implantable cardiac rhythm monitor followed by implantable cardioverter-defibrillator (ICD) implantation.

Outcome

Diagnosis of sustained monomorphic ventricular tachycardia.

This case highlights the utility of implantable cardiac rhythm monitors in diagnosing the etiology of recurrent syncope in patients with ischemic cardiomyopathy, guiding appropriate ICD therapy.

Limitations

Single case report limits generalizability.
Clinical guidelines lack specific recommendations for this patient subgroup (previous myocardial infarction with mildly reduced LVEF).

Cite This Study

Kojić et al. (2018) conducted a case report in Syncope and ischemic cardiomyopathy (n=1). Implantable loop recorder (ILR) and Implantable cardioverter-defibrillator (ICD) was evaluated on Detection of arrhythmia and delivery of appropriate therapy. An implantable loop recorder successfully diagnosed sustained monomorphic ventricular tachycardia in a patient with recurrent syncope and ischemic cardiomyopathy, leading to life-saving ICD therapy.

synapsesocial.com/papers/6ab4aeaff0bc6b0893b0abbc https://doi.org/10.5937/siks1801028k

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January 1, 2018Srce i krvni sudoviOpen Access

The evaluation and management of patients with syncope: Case report and overview of 2017 ACC/AHA/HRS guidelines

View Full Paper

Ask AI

Bookmark

Key result

An implantable loop recorder successfully diagnosed sustained monomorphic ventricular tachycardia in a patient with recurrent syncope and ischemic cardiomyopathy, leading to life-saving ICD therapy.

Population

A 57-year-old female with ischemic cardiomyopathy with mildly reduced systolic left ventricular function…

Design

Case_report

Authors

DKDejan Kojić NMNebojša M. Mujović

Discussion

Member takes

Overview

Hypothesis-generating for monitors in syncope with cardiomyopathy; prospective trials needed before routine adoption.

Study Design

Type

Case Report (n=1)

Multicenter

Structured PICO

Population

A 57-year-old woman with ischemic cardiomyopathy and mildly reduced left ventricular ejection fraction presenting with recurrent syncope.

Intervention

Implantable cardiac rhythm monitor followed by implantable cardioverter-defibrillator (ICD) implantation.

Outcome

Diagnosis of sustained monomorphic ventricular tachycardia.

This case highlights the utility of implantable cardiac rhythm monitors in diagnosing the etiology of recurrent syncope in patients with ischemic cardiomyopathy, guiding appropriate ICD therapy.

Limitations

Single case report limits generalizability.
Clinical guidelines lack specific recommendations for this patient subgroup (previous myocardial infarction with mildly reduced LVEF).

Cite This Study

synapsesocial.com/papers/6ab4aeaff0bc6b0893b0abbc https://doi.org/10.5937/siks1801028k

Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

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