A Review of the Wide Range of Indications and Uses of Implantable Loop Recorders: A Review of the Literature
Implantable loop recorders (ILR) are devices that are implanted subcutaneously on the chest, which enables the continuous monitoring of arrhythmias for up to three years. These devices have an important role in helping to make a diagnosis and supporting decisions about the best patient management. T...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-04-01
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| Series: | Hearts |
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| Online Access: | https://www.mdpi.com/2673-3846/3/2/7 |
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| author | Chun Shing Kwok Daniel Darlington Joseph Mayer Gaurav Panchal Vincent Walker Donah Zachariah Thanh Phan Christian D. Mallen Diane Barker Ashish Patwala |
| author_facet | Chun Shing Kwok Daniel Darlington Joseph Mayer Gaurav Panchal Vincent Walker Donah Zachariah Thanh Phan Christian D. Mallen Diane Barker Ashish Patwala |
| author_sort | Chun Shing Kwok |
| collection | DOAJ |
| description | Implantable loop recorders (ILR) are devices that are implanted subcutaneously on the chest, which enables the continuous monitoring of arrhythmias for up to three years. These devices have an important role in helping to make a diagnosis and supporting decisions about the best patient management. There are currently three companies that produce ILRs. The Reveal DX and XT device is produced by Medtronic. The Confirm device is produced by Abbott. The Biomonitor III device is produced by Biotronik. The established indications for ILR include the management of transient loss of consciousness and the diagnosis of undocumented palpitations; however, they are also used for less established applications, including atrial fibrillation (AF) monitoring and risk stratification in patients with previous myocardial infarction or inherited cardiomyopathies. There is also diverse literature exploring the use of these devices in other populations, including patients with conditions such as congenital heart disease, amyloidosis, stroke, obstructive sleep apnea, renal transplant and patients who undergo procedures such as AF ablation and coronary artery bypass graft. In this review, we describe how the use of ILR has been applied in different settings, including patients with cardiac and non-cardiac conditions as well as post-cardiac procedures. We then discuss the potential issues related to using ILR in these other indications. |
| first_indexed | 2024-03-09T23:39:48Z |
| format | Article |
| id | doaj.art-43a4f03ed3094e4987bf56feaf0b171b |
| institution | Directory Open Access Journal |
| issn | 2673-3846 |
| language | English |
| last_indexed | 2024-03-09T23:39:48Z |
| publishDate | 2022-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Hearts |
| spelling | doaj.art-43a4f03ed3094e4987bf56feaf0b171b2023-11-23T16:53:43ZengMDPI AGHearts2673-38462022-04-0132455310.3390/hearts3020007A Review of the Wide Range of Indications and Uses of Implantable Loop Recorders: A Review of the LiteratureChun Shing Kwok0Daniel Darlington1Joseph Mayer2Gaurav Panchal3Vincent Walker4Donah Zachariah5Thanh Phan6Christian D. Mallen7Diane Barker8Ashish Patwala9Department of Cardiology, Royal Stoke University Hospital, Stoke-on-Trent ST4 6QG, UKDepartment of Cardiology, Royal Stoke University Hospital, Stoke-on-Trent ST4 6QG, UKDepartment of Cardiology, Royal Stoke University Hospital, Stoke-on-Trent ST4 6QG, UKDepartment of Cardiology, Royal Stoke University Hospital, Stoke-on-Trent ST4 6QG, UKDepartment of Cardiology, Royal Stoke University Hospital, Stoke-on-Trent ST4 6QG, UKDepartment of Cardiology, Royal Stoke University Hospital, Stoke-on-Trent ST4 6QG, UKDepartment of Cardiology, Royal Stoke University Hospital, Stoke-on-Trent ST4 6QG, UKSchool of Medicine, Keele University, Keele ST5 5BG, UKDepartment of Cardiology, Royal Stoke University Hospital, Stoke-on-Trent ST4 6QG, UKDepartment of Cardiology, Royal Stoke University Hospital, Stoke-on-Trent ST4 6QG, UKImplantable loop recorders (ILR) are devices that are implanted subcutaneously on the chest, which enables the continuous monitoring of arrhythmias for up to three years. These devices have an important role in helping to make a diagnosis and supporting decisions about the best patient management. There are currently three companies that produce ILRs. The Reveal DX and XT device is produced by Medtronic. The Confirm device is produced by Abbott. The Biomonitor III device is produced by Biotronik. The established indications for ILR include the management of transient loss of consciousness and the diagnosis of undocumented palpitations; however, they are also used for less established applications, including atrial fibrillation (AF) monitoring and risk stratification in patients with previous myocardial infarction or inherited cardiomyopathies. There is also diverse literature exploring the use of these devices in other populations, including patients with conditions such as congenital heart disease, amyloidosis, stroke, obstructive sleep apnea, renal transplant and patients who undergo procedures such as AF ablation and coronary artery bypass graft. In this review, we describe how the use of ILR has been applied in different settings, including patients with cardiac and non-cardiac conditions as well as post-cardiac procedures. We then discuss the potential issues related to using ILR in these other indications.https://www.mdpi.com/2673-3846/3/2/7implantable loop recorderarrhythmiaatrial fibrillation |
| spellingShingle | Chun Shing Kwok Daniel Darlington Joseph Mayer Gaurav Panchal Vincent Walker Donah Zachariah Thanh Phan Christian D. Mallen Diane Barker Ashish Patwala A Review of the Wide Range of Indications and Uses of Implantable Loop Recorders: A Review of the Literature Hearts implantable loop recorder arrhythmia atrial fibrillation |
| title | A Review of the Wide Range of Indications and Uses of Implantable Loop Recorders: A Review of the Literature |
| title_full | A Review of the Wide Range of Indications and Uses of Implantable Loop Recorders: A Review of the Literature |
| title_fullStr | A Review of the Wide Range of Indications and Uses of Implantable Loop Recorders: A Review of the Literature |
| title_full_unstemmed | A Review of the Wide Range of Indications and Uses of Implantable Loop Recorders: A Review of the Literature |
| title_short | A Review of the Wide Range of Indications and Uses of Implantable Loop Recorders: A Review of the Literature |
| title_sort | review of the wide range of indications and uses of implantable loop recorders a review of the literature |
| topic | implantable loop recorder arrhythmia atrial fibrillation |
| url | https://www.mdpi.com/2673-3846/3/2/7 |
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