Evidence map›Paper›PMID 37388638›Full record

ArticleFrontiers in cardiovascular medicine2023

Remote monitoring of implantable loop recorders reduces time to diagnosis in patients with unexplained syncope: a multicenter propensity score-matched study.

Vincenzo Russo, Anna Rago, Nicola Grimaldi, Raffaele Chianese, Aniello Viggiano, Giuliano D'Alterio, Diego Colonna, Agostino Mattera Iacono, Andrea Antonio Papa, Andrea Spadaro Guerra and 5 more

Abstract read
In one paragraph

Article in Frontiers in cardiovascular medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Review
  2. A randomized controlled trial of remote monitoring for cardiac implantable loop recorders: stay-away trial.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026
    Article
  3. Article
  4. Review
  5. Migration of an Implantable Loop Recorder: A Meta-summary of Case Reports.The Journal of innovations in cardiac rhythm management · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Vincenzo RussoCardiology and Syncope Unit, Department of Medical Translational Sciences, University of Campania "Luigi Vanvitelli"-Monaldi Hospital, Naples, Italy.
Anna RagoCardiology and Syncope Unit, Department of Medical Translational Sciences, University of Campania "Luigi Vanvitelli"-Monaldi Hospital, Naples, Italy.
Nicola GrimaldiAdult Congenital Heart Disease Unit, Monaldi Hospital, Naples, Italy.
Raffaele ChianeseCardiology Division, Sant'Anna and San Sebastiano Hospital, Caserta, Italy.
Aniello ViggianoDepartment of Advanced Biomedical Sciences, Federico II University of Naples, Naples, Italy.
Giuliano D'AlterioCardiology Department, Electrophysiology and Cardiac Pacing Unit A.O.R.N. V. Monaldi, Naples, Italy.
Diego ColonnaAdult Congenital Heart Disease Unit, Monaldi Hospital, Naples, Italy.
Agostino Mattera IaconoCardiology Division, Sant'Anna and San Sebastiano Hospital, Caserta, Italy.
Andrea Antonio PapaCardiology and Syncope Unit, Department of Medical Translational Sciences, University of Campania "Luigi Vanvitelli"-Monaldi Hospital, Naples, Italy.
Andrea Spadaro GuerraClinical Research Unit, Biotronik Italia S.p.A., Cologno, Italy.
Alessio GargaroClinical Research Unit, Biotronik Italia S.p.A., Cologno, Italy.
Antonio RapacciuoloDepartment of Advanced Biomedical Sciences, Federico II University of Naples, Naples, Italy.
Berardo SarubbiAdult Congenital Heart Disease Unit, Monaldi Hospital, Naples, Italy.
Antonio D'OnofrioCardiology Department, Electrophysiology and Cardiac Pacing Unit A.O.R.N. V. Monaldi, Naples, Italy.
Gerardo NigroCardiology and Syncope Unit, Department of Medical Translational Sciences, University of Campania "Luigi Vanvitelli"-Monaldi Hospital, Naples, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: There are little data on remote monitoring (RM) of implantable loop recorders (ILRs) in patients with unexplained syncope and whether it confers enhanced diagnostic power. Objective: To 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. Methods: SyncRM 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). Results: The 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 ( Conclusion: In 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.

Indexed as

arrhythmiasimplanted loop recorderpacemakerremote monitoringsyncope

Identifiers

PMID37388638
PMCPMC10303931

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.