Sökning: L773:1897 5593 OR L773:1898 018X >
Outcome of implanta...
Outcome of implantable loop recorder evaluation
-
- Magnusson, Peter (författare)
- Uppsala universitet,Centrum för klinisk forskning, Gävleborg,Karolinska Inst, Dept Med, Cardiol Res Unit, Stockholm, Sweden,Cardiology Research Unit, Department of Medicine, Karolinska Institutet, Stockholm, and Centre for Research and Development, Uppsala University/Region Gävleborg, Gävle,
-
- Olszowka, Maciej (författare)
- Uppsala universitet,Uppsala kliniska forskningscentrum (UCR),Kardiologi,3Department of Medical Sciences, Uppsala Clinical Research Centre, Uppsala University
-
- Wallhagen, Marita (författare)
- Högskolan i Gävle,Miljöteknik,Division of Environmental Strategies Research, School of Architecture and the Built Environment, Royal Institute of Technology (KTH), Stockholm, Sweden
-
visa fler...
-
- Koyi, Hirsh (författare)
- Karolinska Institutet,Uppsala universitet,Centrum för klinisk forskning, Gävleborg,Karolinska Inst, Dept Med, Stockholm, Sweden,Centre for Research and Development, Uppsala University/Region Gävleborg, Gävle and Department of Medicine, Karolinska Institutet, Stockholm
-
visa färre...
-
(creator_code:org_t)
- VIA MEDICA, 2018
- 2018
- Engelska.
-
Ingår i: CARDIOLOGY JOURNAL. - : VIA MEDICA. - 1897-5593 .- 1898-018X. ; 25:3, s. 363-370
- Relaterad länk:
-
https://uu.diva-port... (primary) (Raw object)
-
visa fler...
-
https://doi.org/10.5...
-
https://urn.kb.se/re...
-
https://doi.org/10.5...
-
http://kipublication...
-
https://urn.kb.se/re...
-
visa färre...
Abstract
Ämnesord
Stäng
- Background: The aim of this study was to evaluate implantable loop recorders (ILRs) in an unselected cohort in order to determine diagnostic yield, time to pacemaker/implantable cardioverter-defibrillator (ICD) implantation, predictors thereof safety issues, and syncope management including usage of preceding diagnostic tools. Methods: Patients who underwent ILR evaluation in any of three centers in Region Gavleborg, Sweden, between April 2007 and April 2013 were included and their medical records retrieved. Logistic regression was used to evaluate predictors of pacemaker/ICD outcome expressed as odds ratios (ORs) and Kaplan-Meier estimates for time-dependent analysis. Results: A total of 173 patients (52.6% females) with a mean age of 56.2 years received an ILR during a mean follow-up of 605 days. In the 146 patients evaluated for syncope/presyncope, 28.1% received a pacemaker (n = 39) or ICD (n = 2). The cumulative incidence at 6, 12, and 18 months were 8.8%, 21.3%, and 26.7%, respectively. Age > 75 years was the only significant predictor for outcome (p = 0.010) and the following variables showed a tendency toward significance: abnormal elevation of the biontarker B-type natriuretic peptide (OR 2.05, p = 0.100), a history of trauma (OR 1.71, p = 0.179), and pathologic electrocardiogram (OR 1.68, p = 0.231). A computerized tomography of the skull was performed in 52.1% of the syncope cases. Conclusions: In syncope evaluation in an unselected cohort, 28.1% were diagnosed with an arrhythmia necessitating a pacemaker/ICD. The only significant predictor was advanced age. Time to diagnosis is unpredictable and prolonged ILR monitoring is warranted in addition to optimal use of other diagnostic tools.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine (hsv//eng)
Nyckelord
- cardiac arrhythmia
- implantable loop recorder
- electrocardiography monitoring
- pacemaker
- syncope
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
Hitta via bibliotek
Till lärosätets databas