Ambulatory electrocardiogram monitoring devices for evaluating transient loss of consciousness or other related symptoms

Ritsuko Kohno, Haruhiko Abe, David G. Benditt

Research output: Contribution to journalReview articlepeer-review

8 Scopus citations

Abstract

Capturing electrocardiograms (ECGs) during spontaneous events is the most powerful available tool to identify or exclude an arrhythmic cause of symptoms, and often can elucidate the definite diagnosis for different conditions, such as transient loss of consciousness (T-LOC), lightheadedness, or palpitations. Current ambulatory ECG monitoring technologies include 24-hour Holter, wearable event recorder, external loop recorder (ELR), and insertable cardiac monitoring (ICM). Of them, Holter ECG is most frequently used in daily practice in Japan, while ELR and ICM are less frequently used. However, the appropriate monitor choice should be based on the expected frequency of symptoms. Frequent events may be adequately detected by Holter ECG, but less frequent symptoms are more effectively assessed by longer-term monitoring (i.e., ELR or ICM). In this report, based on our clinical experience, we review the usefulness of ambulatory ECG monitoring devices, especially of ELR, for evaluating T-LOC and other potentially arrhythmia-related symptoms. Specifically, we focus on the use of ELR and ICM for evaluating Japanese patients with T-LOC.

Original languageEnglish (US)
Pages (from-to)583-589
Number of pages7
JournalJournal of Arrhythmia
Volume33
Issue number6
DOIs
StatePublished - Dec 2017

Bibliographical note

Publisher Copyright:
© 2017 Japanese Heart Rhythm Society

Keywords

  • External loop recorder
  • Holter electrocardiogram
  • Insertable cardiac monitoring
  • Syncope
  • Transient loss of consciousness

Fingerprint Dive into the research topics of 'Ambulatory electrocardiogram monitoring devices for evaluating transient loss of consciousness or other related symptoms'. Together they form a unique fingerprint.

Cite this