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Tilt table testing and implantable loop recorders for syncope.

Robert Sheldon¹

¹Libin Cardiovascular Institute of Alberta, University of Calgary, 3280 Hospital Drive Northwest, Calgary, Alberta T2N 4N1, Canada. sheldon@ucalgary.ca

Cardiology Clinics

|December 11, 2012

Summary

This summary is machine-generated.

Tilt table tests and implantable loop recorders aid syncope diagnosis. Implantable loop recorders identify older patients with syncope who may benefit from permanent pacing, with proven safety and efficacy.

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Area of Science:

Cardiology
Neurology
Diagnostic Medicine

Background:

Syncope diagnosis presents challenges.
Neurally mediated syncope requires specific diagnostic approaches.

Purpose of the Study:

To summarize the contributions of tilt table tests and implantable loop recorders in diagnosing syncope.
To provide recommendations for the use of these diagnostic tools.

Main Methods:

Review of tilt table test utility and limitations.
Evaluation of implantable loop recorder effectiveness, including randomized study data.

Main Results:

Tilt table tests offer benefits for neurally mediated syncope but have limitations.
Implantable loop recorders are effective in identifying syncope causes.
Two patient populations with syncope who may benefit from permanent pacing have been identified using implantable loop recorders.

Conclusions:

Both tilt table tests and implantable loop recorders are valuable for syncope diagnosis.
Early use of implantable loop recorders is safe and effective.
Implantable loop recorders can guide pacing decisions in specific syncope patient groups.