EDITORIALS

The implantable loop recorder in children: searching for indications

Robert H Pass, Leonardo Liberman

Pediatric Arrhythmia Service, Department of Pediatrics, NY Presbyterian Hospital, Columbia University College of Physicians and Surgeons, New York, NY, USA

Correspondence to:
Dr L Liberman, New York Presbyterian Hospital, Columbia University, Pediatric Cardiology, 3959 Broadway Ave 2-North, New York, NY 10032, USA; ll202@columbia.edu

The first 150 words of the full text of this article appear below.

Assessment of the aetiology of syncope in children can be challenging. In the majority of cases, the cause can be determined from a careful personal and family history, and physical examination. Additional testing such as an ECG, stress test, Holter monitoring and echocardiogram are useful in helping to ferret out the aetiology of syncope. Tilt table testing is also occasionally considered in patients with histories that are consistent with possible neurocardiogenic syncope. An invasive electrophysiological study is indicated when an arrhythmia is suspected, particularly in a patient with structural heart disease.¹ Despite extensive investigations, there are rare cases in which the mechanism of syncope cannot be easily determined.

The implantable loop recorder (ILR) can be used as a diagnostic tool in cases of recurrent syncope in which an aetiological origin cannot be found.² It is a device placed in the subcutaneous tissue, usually in the pectoral area, which can monitor . . . [Full text of this article]

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