Revealing data retrieved from an implantable loop recorder.
This patient is an 80-year-old man with a history of recurrent syncope of unknown etiology who underwent an extensive cardiac and neurologic evaluation which was essentially negative. The patient subsequently received an implantable loop recorder (Reveal , Medtronic, Inc., Minneapolis, Minnesota). Eight months after implantation, this device was activated by the patient following a syncopal episode. The episode revealed over 30 seconds of sinus arrest with only 3 ventricular escape complexes observed during that time. The patient activated this device and was subsequently referred for a dual chamber permanent pacemaker, which was implanted without complications. This case illustrates the advantages of a non-vascular, implantable loop recorder for helping to define the etiology of recurrent unexplained syncope.
Cohen
T J
TJ
222 Station Plaza North, Suite 408, Mineola, NY 11501, USA.
Ibrahim
B
B
Sassower
M J
MJ
D000368:Aged; D000369:Aged, 80 and over; D015716:Electrocardiography, Ambulatory / Q000295:instrumentation; D004867:Equipment Design; D006801:Humans; D008297:Male; D019736:Prostheses and Implants; D013575:Syncope / Q000209:etiology*