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Current rare indications and future directions for implantable loop recorders

Gegenwärtig seltene Indikationen und zukünftige Anwendungen implantierbarer Ereignisrekorder

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Abstract

The scope of application for implantable loop recorders has shifted away from the evaluation of unclear palpitations and syncope episodes to more complex conditions. This article focuses on rare indications of growing importance such as rhythm monitoring after ablation of atrial fibrillation or after cryptogenic stroke. Furthermore, forthcoming applications in various clinical settings are described, e. g., arrhythmia detection after myocardial infarction, after catheter-based valve interventions, in heart failure, and in cardiomyopathies. Enhancement of the capabilities of implantable loop recorders could broaden their fields of use.

Zusammenfassung

Der Einsatzbereich für implantierbare Ereignisrekorder hat sich von der Abklärung unklarer Palpitationen und Synkopen zu komplexeren Zuständen verlagert. Der vorliegende Artikel setzt einen Schwerpunkt auf gegenwärtig noch seltene Indikationen, die zunehmend an Bedeutung gewinnen, wie beispielsweise Rhythmusüberwachung nach Ablation von Vorhofflimmern und nach kryptogenem Insult. Darüber hinaus werden zukünftige Anwendungen in verschiedenen klinischen Situationen beschrieben, z. B. Arrhythmiedetektion nach Myokardinfarkt, nach kathetergestützten Klappeninterventionen, bei Herzinsuffizienz und bei Kardiomyopathien. Weiterentwicklungen des Funktionsumfangs implantierbarer Ereignisrekorder könnten deren Anwendungsgebiete noch ausdehnen.

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Authors and Affiliations

  1. Steinbeis Research Center on Electrophysiology and Cardiac Devices, Fetscherstraße 111, 01307, Dresden, Germany

    Simon Wechselberger,  Christopher Piorkowski &  Matthias Pohl

  2. Department of Invasive Electrophysiology, Technical University of Dresden, Heart Center, University Hospital, Fetscherstraße 76, 01307, Dresden, Germany

    Christopher Piorkowski &  Matthias Pohl

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  1. Simon Wechselberger
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Correspondence to Christopher Piorkowski.

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S. Wechselberger declares that he has no competing interests. M. Pohl has received modest educational sponsoring from St. Jude Medical and congress sponsoring from Medtronic. C. Piorkowski has received modest lecture honoraria and research support from St. Jude Medical and Biotronik, and is a member of the St. Jude Medical advisory board.

This article does not contain any studies with human participants or animals performed by any of the authors.

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Wechselberger, S., Piorkowski, C. & Pohl, M. Current rare indications and future directions for implantable loop recorders. Herzschr Elektrophys 27, 366–370 (2016). https://doi.org/10.1007/s00399-016-0475-x

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