Downloads : Diagnosis of Syncope and the role of the ILR
| Author | R. Yee (London, Ontario, CA) |
|---|---|
| Title | Diagnosis of Syncope and the role of the ILR |
| Shownotes | To compare strategies, 60 patients with unexplained syncope were randomized to undergo conventional testing (external loop recorder [ELR], tilt table test [TTT], EP study) or long-term monitoring with a Reveal. Patients who were subsequently undiagnosed were allowed to crossover. By combining the primary strategy with crossover, the diagnostic yield is 43% with Reveal compared to 20% with conventional testing. The cost of a primary insertable cardiac monitor strategy is 26% less than that of conventional testing. A long-term monitoring strategy with Reveal yields more diagnosis than conventional testing. Early use of Reveal reduces syncope diagnosis costs by 26%. |