Implantable loop recorder in clinical practice.
Antonio BisignaniSilvana De BonisLuigi MancusoGianluca CeravoloGiovanni BisignaniPublished in: Journal of arrhythmia (2018)
The implantable loop recorder (ILR), also known as insertable cardiac monitor (ICM) is a subcutaneous device used for diagnosing heart rhythm disorders. These devices have been strongly improved and miniaturized during the last years showing several reliable features along with the availability of remote monitoring which improves the diagnostic timing and the follow-up strategy with a potential reduction of costs for health care. The recent advent of injectable ILRs makes the procedure even easier and more tolerated by patients. ILR allows the investigation of unexplained recurrent syncope with uncertain diagnosis, revealing a possible relationship with cardiac arrhythmias. In addition, it has recently been equipped with sophisticated algorithms able to detect atrial fibrillation episodes. This new opportunity may provide to the physicians systematic heart rhythm screening with possible effects on patient antiarrhythmic and anticoagulant therapy management. The use of such devices will surely increase, since they may be helpful to diagnose a wide range of disorders and pathologies. Indeed, further studies should be performed in order to identify all the potentialities of these tools.
Keyphrases
- atrial fibrillation
- catheter ablation
- healthcare
- heart failure
- left atrial
- oral anticoagulants
- clinical practice
- left atrial appendage
- end stage renal disease
- left ventricular
- direct oral anticoagulants
- ejection fraction
- machine learning
- primary care
- newly diagnosed
- chronic kidney disease
- transcription factor
- heart rate
- pulmonary embolism
- deep learning
- prognostic factors
- case report
- peritoneal dialysis
- stem cells
- coronary artery disease
- tissue engineering
- patient reported outcomes
- health insurance
- replacement therapy