TY - JOUR
T1 - Ambulatory electrocardiogram monitoring devices for evaluating transient loss of consciousness or other related symptoms
AU - Kohno, Ritsuko
AU - Abe, Haruhiko
AU - Benditt, David G.
N1 - Publisher Copyright:
© 2017 Japanese Heart Rhythm Society
PY - 2017/12
Y1 - 2017/12
N2 - 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.
AB - 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.
KW - External loop recorder
KW - Holter electrocardiogram
KW - Insertable cardiac monitoring
KW - Syncope
KW - Transient loss of consciousness
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U2 - 10.1016/j.joa.2017.04.012
DO - 10.1016/j.joa.2017.04.012
M3 - Review article
C2 - 29255505
AN - SCOPUS:85021259366
SN - 1880-4276
VL - 33
SP - 583
EP - 589
JO - Journal of Arrhythmia
JF - Journal of Arrhythmia
IS - 6
ER -