Diagnostic yield of the implantable loop recorder in octogenarians
Por:
Lacunza-Ruiz, F, Moya-Mitjans, A, Baron-Esquivias, G, Garcia-Alberola, A, Garcia-Bolao, I, Arias, M, Ripoll-Vera, T, Beiras, X, Arribas, F, Lopez-Gil, M, Sotillo, J, Ruiz-Granell, R, Villacastin, J, Ruiz-Mateas, F, Martinez-Alday, J, Arcocha, M, Telleria, R, Curcio, A, Fidalgo, M, Tejada-Ruiz, J, Alonso, J, Martinez-Sande, J, Lechuga, I, Garcia-Medin, M, Andrade, F, Marti, J, Orosa, P, Lawers, C, Sacristan, J, Navarro, A, Benezet, J, Garcia, J, Martin, J, Atienza, F, Perez, L, Barba-Pichardo, R, Gonzalez, S, Toquero, J, Cano, L, Hernandez-Madrid, A, Herreros, B, Munoz, J, Murillo, J, Rodriguez, A, Pastor, A, Garcia-Guerrero, J, Merino-Llorens, J, Moya, A, Garcia-Alberola, A, Ruiz, F, Diaz, E, Alzueta, J, Arana, E and Spanish Reveal Registry
Publicada:
1 feb 2019
Resumen:
Background/objectivesSyncope in octogenarians represents an important problem in terms of comorbidity, quality of life and substantial medical costs, resulting from studies and treatments. An implantable loop ecorder (ILR) may improve diagnostic performance. The objective of the study was to evaluate the results of the ILR in a population of octogenarians.DesignProspective registry of patients receiving an implantable loop recorder in 40 Spanish centers.Participants128 octogenarians implanted with a device for clinical evaluation of syncope.MethodsProspective registry recording the incidence of new symptoms or device activations within the first year after the implant, the incidence of new diagnosis and treatments, and an evaluation of the safety of this strategy in this population. Dedicated database for the registry.ResultsForty-two patients (33% of the population) obtained a final etiological diagnosis of the syncope, which led to a specific treatment in 39 (31%) patients. No differences regarding the presence of conduction disturbances or structural heart disease were found in this population. A mortality of 4% was recorded during follow-up.ConclusionThe implantable loop recorder seems to be an effective and safe tool in the management of syncope in the octogenarian population.
Filiaciones:
Lacunza-Ruiz, F:
Univ Hosp Virgen de la Arrixaca, Ctra Madrid Cartagena Sn, Murcia 30120, Spain
Hosp Virgen Arrixaca, El Palmar, Spain
Moya-Mitjans, A:
Univ Autonoma Barcelona, Univ Hosp Vall dHebron, Barcelona, Spain
Baron-Esquivias, G:
Hosp Virgen del Rocio, Seville, Spain
Garcia-Alberola, A:
Univ Hosp Virgen de la Arrixaca, Ctra Madrid Cartagena Sn, Murcia 30120, Spain
Hosp Virgen Arrixaca, El Palmar, Spain
Garcia-Bolao, I:
Clin Univ Navarra, Pamplona, Spain
Arias, M:
Complejo Hosp Jaen, Jaen, Spain
Ripoll-Vera, T:
Fdn Hosp Son Llatzer, Palma De Mallorca, Spain
Beiras, X:
Hosp Xeral Vigo, Vigo, Spain
Arribas, F:
Hosp 12 Octubre, Madrid, Spain
Lopez-Gil, M:
Hosp 12 Octubre, Madrid, Spain
Sotillo, J:
Hosp Arnau Vilanova, Lleida, Spain
Ruiz-Granell, R:
Hosp Clin Valencia, Valencia, Spain
Villacastin, J:
Hosp Clin San Carlos, Madrid, Spain
Ruiz-Mateas, F:
Hosp Costa Sol, Marbella, Spain
Martinez-Alday, J:
Hosp Basurto, Clin Vicente San Sebastian, Bilbao, Spain
Arcocha, M:
Hosp Basurto, Clin Vicente San Sebastian, Bilbao, Spain
Telleria, R:
Hosp Donostia, Donostia San Sebastian, Spain
Curcio, A:
Hosp Fuenlabrada, Fuenlabrada, Spain
Fidalgo, M:
Hosp Leon, Leon, Spain
Tejada-Ruiz, J:
Hosp Merida, Merida, Spain
Alonso, J:
Hosp Orense, Orense, Spain
Martinez-Sande, J:
Hosp Santiago, Santiago De Compostela, Spain
Lechuga, I:
Hosp Tortosa, Tortosa, Spain
Garcia-Medin, M:
Hosp Valme, Seville, Spain
Andrade, F:
Hosp Zafra, Zafra, Spain
Marti, J:
Hosp Mar, Barcelona, Spain
:
Hosp Francisco Borja, Gandia, Spain
Lawers, C:
Hosp Francisco Borja, Gandia, Spain
Sacristan, J:
Hosp Gen Albacete, Albacete, Spain
:
Hosp Gen Castellon, Castellon de La Plana, Spain
Benezet, J:
Hosp Gen Ciudad Real, Ciudad Real, Spain
Garcia, J:
Hosp Gen Yague, Burgos, Spain
Martin, J:
Hosp Gen Yague, Burgos, Spain
Atienza, F:
Hosp Gregorio Maranon, Madrid, Spain
Perez, L:
Hosp Juan Canalejo, La Coruna, Spain
Barba-Pichardo, R:
Hosp Juan Ramon Jimenez, Huelva, Spain
Gonzalez, S:
Hosp Marques de Valdecilla, Santander, Spain
Toquero, J:
Hosp Puerta De Hierro, Majadahonda, Spain
Cano, L:
Hosp Puerta del Mar, Cadiz, Spain
Hernandez-Madrid, A:
Hosp Ramon & Cajal, Madrid, Spain
Herreros, B:
Hosp Rio Hortega, Valladolid, Spain
Munoz, J:
Hosp Rio Hortega, Valladolid, Spain
Murillo, J:
Hosp San Pedro de Alcantara, Caceres, Spain
Rodriguez, A:
Hosp Univ Canarias, Santa Cruz De Tenerife, Spain
Pastor, A:
Hosp Univ Getafe, Getafe, Spain
Garcia-Guerrero, J:
Hosp Univ Infanta Cristina, Parla, Spain
Merino-Llorens, J:
Hosp Univ La Paz, Madrid, Spain
Moya, A:
Hosp Univ Vall dHebron, Barcelona, Spain
Garcia-Alberola, A:
Univ Hosp Virgen de la Arrixaca, Ctra Madrid Cartagena Sn, Murcia 30120, Spain
Hosp Virgen Arrixaca, El Palmar, Spain
Diaz, E:
Hosp Virgen De La Macarena, Seville, Spain
Alzueta, J:
Hosp Virgen De La Victoria, Malaga, Spain
Arana, E:
Hosp Virgen del Rocio, Seville, Spain
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