All is not lost: utilizing continuous remote ILR monitoring to diagnose syncope.
A 63-year-old man with frequent unexplained syncope was implanted with a second generation remotely monitored implantable loop recorder for continuous electrocardiogram (ECG) monitoring. He had a subsequent syncopal episode and despite accidental destruction of his patient activator, vital ECG data from the event were transmitted wirelessly, enabling a cardiac arrhythmia to be excluded. This case highlights the benefit of remote monitoring in syncope assessment, as well as a transmission system that ensures prompt analysis of the ECG data and therefore rapid optimal patient management.
Cardiac Department, Eastbourne General Hospital, East Sussex Hospitals NHS Trust, Eastbourne, UK.
Paul S G
PS
Hong
Rick A
RA
Veasey
Neil
N
Sulke
D001007:Anxiety / Q000188:drug therapy; D001145:Arrhythmias, Cardiac / Q000175:diagnosis; D015716:Electrocardiography, Ambulatory / Q000295:instrumentation*; D004832:Epilepsy, Absence / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D008991:Monitoring, Physiologic / Q000295:instrumentation*; D010640:Phenothiazines / Q000627:therapeutic use; D013575:Syncope / Q000175:diagnosis*; D013616:Tachycardia, Sinus / Q000175:diagnosis*; D013686:Telemetry / Q000295:instrumentation*; D014635:Valproic Acid / Q000627:therapeutic use
D010640:Phenothiazines; C084584:periciazine; D014635:Valproic Acid