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Implantierbare Loop-Rekorder in der Synkopendiagnostik

Implantable loop recorders in the diagnosis of syncope

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Zusammenfassung

Die korrekte ätiologische Einordnung von Synkopen ist essenziell. Kardiale (arrhythmisch oder strukturell) bedingte Synkopen weisen eine im Vergleich zu Reflexsynkopen ungünstige Prognose auf. Goldstandard der Diagnosefindung ist die Rhythmus-Symptom-Korrelation einer spontanen Synkopenepisode. Bei Synkopen unklarer Genese ist der frühzeitige Einsatz eines subkutan implantierten Loop-Rekorders mit einer schnelleren, effektiveren und kostengünstigeren Diagnosestellung verbunden. Dieser Übersichtsartikel analysiert die derzeitige Datenlage bezüglich der diagnostischen Wertigkeit der implantierbaren Loop-Rekorder und stellt ihre Überlegenheit zur Diagnose unklarer Synkopen in den Kontext der wissenschaftlichen Literatur.

Abstract

In syncope patients, it is essential to make the right diagnosis with respect to underlying etiology. Cardiac (arrhythmic and structural) syncopal episodes carry untoward prognostic implication compared with reflex syncope. While rhythm–symptom correlation of a spontaneous syncopal episode is key to making the correct diagnosis, in case of unclear syncope the early implantation of a loop recorder leads to faster, more efficacious, and more cost-effective diagnosis. This review article summarizes the current data regarding diagnostic accuracy and clinical role of implantable loop recorders. It outlines the superiority of loop recorders in the management of unclear syncope according to present knowledge.

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Authors and Affiliations

  1. Medizinische Klinik I, Kardiologie, Angiologie, Pneumologie, St. Josefs-Hospital, Beethovenstr. 20, 65189, Wiesbaden, Deutschland

    B. M. Kaess &  J. R. Ehrlich FESC, FHRS, FAHA

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  1. B. M. Kaess
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  2. J. R. Ehrlich FESC, FHRS, FAHA
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Correspondence to J. R. Ehrlich FESC, FHRS, FAHA.

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B. M. Kaess und J.R. Ehrlich geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Kaess, B.M., Ehrlich, J.R. Implantierbare Loop-Rekorder in der Synkopendiagnostik. Herzschr Elektrophys 27, 345–350 (2016). https://doi.org/10.1007/s00399-016-0476-9

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