Title: Diagnosis of Syncope and the role of the ILR

Presentor(s)	R. Yee (London, Ontario, CA)
Episode	4
Year	2007
Duration	16:53

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%.