ArticleCardiology journal2019
Implantable loop recorders in patients with unexplained syncope: Clinical predictors of pacemaker implantation.
Article in Cardiology journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Predictors of pacemaker requirement in patients with implantable loop recorder and unexplained syncope: A systematic review and meta-analysis.Clinical cardiology · 2024Pooled it
- An Implantable Loop Recorder in the Diagnosis of Cardiac Arrhythmias: The Importance of Drug Treatment in Predicting Pacemaker Requirement.Biomedicines · 2026Article
- Arrhythmic Risk in Syncope: Bridging Guidelines and Real-World Evidence.Reviews in cardiovascular medicine · 2025Article
- Application of insertable cardiac monitors in the real world: an observational cohort study in China.BMC cardiovascular disorders · 2025Observational
- Implantable loop recorder migration: Case-based review and implications for clinical practice.American heart journal plus : cardiology research and practice · 2025Article
- Cardiomyopathy and Sudden Cardiac Death: Bridging Clinical Practice with Cutting-Edge Research.Biomedicines · 2024Review
- Clinical predictors of cardiac syncope in patients with unexplained syncope after the implantation of an insertable cardiac monitor.Heart and vessels · 2023Observational
- Insertable cardiac monitor with a long sensing vector: Impact of obesity on sensing quality and safety.Frontiers in cardiovascular medicine · 2023Article
- A case of an implantable cardiac monitor follow-up: Too little, too late.HeartRhythm case reports · 2022Article
- Syncope Recurrence and Downstream Diagnostic Testing after Insertable Cardiac Monitor Placement for Syncope.Diagnostics (Basel, Switzerland) · 2022Article
- Diagnostic value of implantable loop recorders in patients with unexplained syncope or palpitations.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2021Observational
- Usefulness of an Implantable Loop Recorder in Diagnosing Unexplained Syncope and Predictors for Pacemaker Implantation.Journal of Korean medical science · 2020Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundImplantable loop recorders (ILR) are a valuable tool for the investigation of unexplainedsyncopal episodes. The aim of this retrospective single center study was to identify predictive factors for pacemaker implantation in patients with unexplained syncope who underwent ILR insertion.
methodsOne hundred six patients were retrospectively analyzed (mean age 59.1 years; 47.2% male) with unexplained syncope and negative conventional testing who underwent ILR implantation. The pri- mary study endpoint was detection of symptomatic or asymptomatic bradycardia requiring pacemaker implantation.
resultsThe average follow-up period after ILR implantation was 20 ± 15 months. Pacemaker im- plantation according to current guidelines was necessary in 22 (20.8%) patients, mean duration until index bradycardia was 81 ± 88 (2-350) days. Ten (45.5%) patients received a pacemaker due to sinus arrest, 7 (31.8%) patients due to third-degree atrioventricular block, 2 (9.1%) patients due to second- degree atrioventricular block and 1 (4.5%) patient due to atrial fibrillation with a slow ventricular rate. Three factors remained significant in multivariate analysis: obesity, which defined by a body mass index above 30 kg/m2 (OR: 7.39, p = 0.014), a right bundle branch block (OR: 9.40, p = 0.023) and chronic renal failure as defined by a glomerular filtration rate of less than 60 mL/min (OR: 6.42, p = 0.035).
conclusionsBradycardia is a frequent finding in patients undergoing ILR implantation due to un- explained syncope. Obesity, right bundle branch block and chronic renal failure are independent clinical predictors of pacemaker implantation.
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