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©The Author(s) 2023.
World J Cardiol. Apr 26, 2023; 15(4): 119-141
Published online Apr 26, 2023. doi: 10.4330/wjc.v15.i4.119
Published online Apr 26, 2023. doi: 10.4330/wjc.v15.i4.119
Table 2 Main advantages, limitations, and indications of the most commonly used devices for electrocardiogram cardiac monitoring in patients with syncope
Advantages | Disadvantages | Main indications | |
24-hr holter | Continuous recording: 12 leads with good correlation with surface ECG; low economic cost per study | Discomfort for the patient; artifacts; maximum recording of 24-48 h (low diagnostic yield); high economic cost per diagnosis | Very frequent (daily) symptoms; in-hospital monitoring (if ECG-telemetry not available) |
Skin patches | Continuous recording of 7-14 d; good tolerability for patients | Single-use and greater economic cost; only one | Frequent (weekly) symptoms |
External loop recorders | Loop recording (includes beginning and end of arrhythmic event); monitoring for 4 wk; low economic cost per study | Patient discomfort; requires education from healthcare professional on how to correctly place the electrodes; relatively low diagnostic yield | Frequent (weekly-monthly) symptoms |
Implantable loop recorders | Loop recording; up to 3-yr monitoring (good diagnostic yield); patient does not have to do anything; remote monitoring | Invasiveness and associated complications (infection, bleeding, etc.); individual economic cost; single lead | Infrequent symptoms; most useful in syncope |
- Citation: Francisco Pascual J, Jordan Marchite P, Rodríguez Silva J, Rivas Gándara N. Arrhythmic syncope: From diagnosis to management. World J Cardiol 2023; 15(4): 119-141
- URL: https://www.wjgnet.com/1949-8462/full/v15/i4/119.htm
- DOI: https://dx.doi.org/10.4330/wjc.v15.i4.119