Abstract
The purpose of this study was to assess the diagnostic value of recording the cardiac rhythm during presyncope in patients undergoing monitoring for undiagnosed syncope. Eighty-five patients (age, 59 +/- 18 years; 44 men, 41 women) with recurrent unexplained syncope underwent prolonged monitoring with an implantable loop recorder. Patients were examined for syncope, which was either recurrent or associated with at least 2 presyncopal episodes. Patients had a mean of 5.1 +/- 5.5 syncopal episodes in the previous 12 months, and 70% of patients had symptoms for >2 years. Sixty-two (73%) patients had recurrent symptoms during a 12-month follow-up period. Of 150 recurrent events captured by the implantable loop recorder, there were 38 (25%) episodes of syncope and 112 (75%) episodes of presyncope. Syncope alone recurred in 12 patients, presyncope in 25, and both in 16. An arrhythmia was present in 64% of syncopal events (bradycardia in 16, tachycardia in 2) versus 25% for presyncopal events (bradycardia in 7, tachycardia in 3, P =.001). An arrhythmia was detected in 9 (56%) of the 16 patients with both syncope and presyncope, which was present in all recorded episodes of syncope compared with 6 of 9 presyncopal episodes. Patient-rel...Continue Reading
References
May 1, 1990·Medicine·W N Kapoor
Jul 28, 1983·The New England Journal of Medicine·W N KapoorG S Levey
Jun 1, 1997·Pacing and Clinical Electrophysiology : PACE·A D KrahnC Norris
Jan 26, 1999·Circulation·A D KrahnC Norris
Citations
Apr 30, 2009·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·UNKNOWN Task Force membersUNKNOWN EHRA Scientific Documents Committee
Oct 3, 2009·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Angelo Bartoletti
Mar 19, 2014·BMC Emergency Medicine·Venkatesh ThiruganasambandamoorthyGeorge A Wells
Jul 28, 2004·Revista española de cardiología·Rafael Peinado Peinado
Jul 28, 2004·Revista española de cardiología·Juan García ReverteMariano Valdés Chávarri
Apr 25, 2016·The American Journal of Emergency Medicine·Karsten KellerWolfgang Dippold
Dec 3, 2014·Annals of Emergency Medicine·James V Quinn
Sep 4, 2014·Annals of Emergency Medicine·Venkatesh ThiruganasambandamoorthyMonica Taljaard
Aug 14, 2003·Pacing and Clinical Electrophysiology : PACE·Alan FitchetAdam P Fitzpatrick
Jun 30, 2015·Clinical and Experimental Emergency Medicine·Pranjal R Patel, James V Quinn
Nov 5, 2016·Herzschrittmachertherapie & Elektrophysiologie·B M Kaess, J R Ehrlich
May 14, 2005·Expert Review of Cardiovascular Therapy·Robert S DieterMichael R Jaff
Aug 10, 2002·Current Cardiology Reports·Satish R Raj, Robert S Sheldon
Dec 14, 2007·American Journal of Cardiovascular Drugs : Drugs, Devices, and Other Interventions·Deviprasad VenugopalDavid G Benditt
Mar 22, 2018·European Heart Journal·Michele BrignoleUNKNOWN ESC Scientific Document Group