期刊论文详细信息
Frontiers in Cardiovascular Medicine
Remote monitoring of implantable loop recorders reduces time to diagnosis in patients with unexplained syncope: a multicenter propensity score-matched study
Cardiovascular Medicine
Diego Colonna1  Nicola Grimaldi1  Berardo Sarubbi1  Raffaele Chianese2  Agostino Mattera Iacono2  Andrea Antonio Papa3  Anna Rago3  Gerardo Nigro3  Vincenzo Russo3  Giuliano D’Alterio4  Antonio D’Onofrio4  Andrea Spadaro Guerra5  Alessio Gargaro5  Antonio Rapacciuolo6  Aniello Viggiano6 
[1] Adult Congenital Heart Disease Unit, Monaldi Hospital, Naples, Italy;Cardiology Division, Sant'Anna and San Sebastiano Hospital, Caserta, Italy;Cardiology and Syncope Unit, Department of Medical Translational Sciences, University of Campania “Luigi Vanvitelli”—Monaldi Hospital, Naples, Italy;Cardiology, Department, Electrophysiology and Cardiac Pacing Unit A.O.R.N. V. Monaldi, Naples, Italy;Clinical Research Unit, Biotronik Italia S.p.A., Cologno, Italy;Department of Advanced Biomedical Sciences, Federico II University of Naples, Naples, Italy;
关键词: syncope;    implanted loop recorder;    remote monitoring;    arrhythmias;    pacemaker;   
DOI  :  10.3389/fcvm.2023.1193805
 received in 2023-03-25, accepted in 2023-05-02,  发布年份 2023
来源: Frontiers
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【 摘 要 】

BackgroundThere are little data on remote monitoring (RM) of implantable loop recorders (ILRs) in patients with unexplained syncope and whether it confers enhanced diagnostic power.ObjectiveTo evaluate the effect of RM in ILR recipients for unexplained syncope for early detection of clinically relevant arrhythmias by comparison with a historical cohort with no RM.MethodsSyncRM is a propensity score (PS)-matched study prospectively including 133 consecutive patients with unexplained syncope and ILR followed up by RM (RM-ON group). A historical cohort of 108 consecutive ILR patients with biannual in-hospital follow-up visits was used as control group (RM-OFF group). The primary endpoint was the time to the clinician's evaluation of clinically relevant arrhythmias (types 1, 2, and 4 of the ISSUE classification).ResultsThe primary endpoint of arrhythmia evaluation was reached in 38 patients (28.6%) of the RM-ON group after a median time of 46 days (interquartile range, 13–106) and in 22 patients (20.4%) of the RM-OFF group after 92 days (25–368). The PS-matched adjusted ratio of rates of arrhythmia evaluation was 2.53 (95% confidence interval, 1.32–4.86) in the RM-ON vs. RM-OFF group (p = 0.005).ConclusionIn our PS-matched comparison with a historical cohort, RM of ILR patients with unexplained syncope was associated with a 2.5-fold higher chance of evaluations of clinically relevant arrhythmias as compared with biannual in-office follow-up visits.

【 授权许可】

Unknown   
© 2023 Russo, Rago, Grimaldi, Chianese, Viggiano, D'Alterio, Colonna, Mattera Iacono, Papa, Spadaro Guerra, Gargaro, Rapacciuolo, Sarubbi, D'Onofrio and Nigro.

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