Ambulatory diagnostic ECG monitoring for syncope and collapse: An assessment of clinical practice in the United States

Diagnostic ambulatory electrocardiogram (AECG) monitoring is widely used for evaluating syncope and collapse, and practice guidelines provide recommendations regarding optimal AECG device selection. However, whether physicians utilize AECGs in accordance with the pertinent guidelines is unclear. This study assessed utilization of AECG monitoring systems for syncope and collapse diagnosis by physicians in the United States.

[1]  R Yee,et al.  Use of an extended monitoring strategy in patients with problematic syncope. Reveal Investigators. , 1999, Circulation.

[2]  M. Link,et al.  2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. , 2017, Journal of the American College of Cardiology.

[3]  M. Link,et al.  2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. , 2017, Circulation.

[4]  Allan C Skanes,et al.  Cost implications of testing strategy in patients with syncope: randomized assessment of syncope trial. , 2003, Journal of the American College of Cardiology.

[5]  P. Rizzon,et al.  Management of patients with syncope referred urgently to general hospitals. , 2003, Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology.

[6]  N. Freemantle,et al.  The clinical impact of implantable loop recorders in patients with syncope. , 2006, European heart journal.

[7]  A. Skanes,et al.  Predicting the Outcome of Patients with Unexplained Syncope Undergoing Prolonged Monitoring , 2002, Pacing and clinical electrophysiology : PACE.

[8]  C. Camargo,et al.  Characteristics and admission patterns of patients presenting with syncope to U.S. emergency departments, 1992-2000. , 2004, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[9]  F. Lombardi,et al.  Utility of implantable loop recorder (Reveal Plus) in the diagnosis of unexplained syncope. , 2005, Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology.

[10]  Jonathan H Seltzer,et al.  The Diagnosis of Cardiac Arrhythmias: A Prospective Multi‐Center Randomized Study Comparing Mobile Cardiac Outpatient Telemetry Versus Standard Loop Event Monitoring , 2007, Journal of cardiovascular electrophysiology.

[11]  J. Alpert,et al.  ACC/AHA guidelines for ambulatory electrocardiography: executive summary and recommendations. A report of the American College of Cardiology/American Heart Association task force on practice guidelines (committee to revise the guidelines for ambulatory electrocardiography). , 1999, Circulation.

[12]  M. Brignole,et al.  Syncope: is a diagnosis a diagnosis? , 2003, Journal of the American College of Cardiology.

[13]  Lluís Mont,et al.  Value of the implantable loop recorder for the management of patients with unexplained syncope. , 2004, Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology.

[14]  A. Skanes,et al.  A prospective randomized comparison of loop recorders versus Holter monitors in patients with syncope or presyncope. , 2003, The American journal of medicine.

[15]  Pietro Cortelli,et al.  Guidelines for the diagnosis and management of syncope (version 2009). , 2009, European heart journal.

[16]  A. Brandes,et al.  Use of an implantable loop recorder to increase the diagnostic yield in unexplained syncope: results from the PICTURE registry , 2010, Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology.

[17]  C. Garutti,et al.  Early versus delayed implantation of a loop recorder in patients with unexplained syncope--effects on care pathway and diagnostic yield. , 2013, International journal of cardiology.

[18]  M. Link,et al.  2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. , 2017, Circulation.

[19]  P. Zimetbaum,et al.  Ambulatory arrhythmia monitoring: choosing the right device. , 2010, Circulation.

[20]  M. Brignole,et al.  Diagnostic value of history in patients with syncope with or without heart disease. , 2001, Journal of the American College of Cardiology.

[21]  M. Brignole,et al.  Prospective multicentre systematic guideline-based management of patients referred to the Syncope Units of general hospitals. , 2010, Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology.

[22]  I. Savelieva,et al.  Syncope Unit: rationale and requirement--the European Heart Rhythm Association position statement endorsed by the Heart Rhythm Society. , 2015, Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology.

[23]  W. Shen,et al.  Identifying Cardiac Syncope Based on Clinical History: A Literature-Based Model Tested in Four Independent Datasets , 2013, PloS one.

[24]  M. Brignole,et al.  The usage and diagnostic yield of the implantable loop-recorder in detection of the mechanism of syncope and in guiding effective antiarrhythmic therapy in older people. , 2005, Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology.

[25]  J. Blanc,et al.  Guidelines for the diagnosis and management of syncope (version 2009) The Task Force for the Diagnosis and Management of Syncope of the European Society of Cardiology (ESC) , 2009 .

[26]  S. Parry,et al.  Implantable loop recorders in the investigation of unexplained syncope: a state of the art review , 2010, Heart.