Remote monitoring of implantable loop recorders reduces time to diagnosis in patients with unexplained syncope: a multicenter propensity score-matched study Article Swipe
Vincenzo Russo
,
Anna Rago
,
N Grimaldi
,
Raffaele Chianese
,
Aniello Viggiano
,
Giuliano D’Alterio
,
Diego Colonna
,
Agostino Mattera Iacono
,
Andrea Antonio Papa
,
Andrea Spadaro Guerra
,
Alessio Gargaro
,
Antonio Rapacciuolo
,
Berardo Sarubbi
,
Antonio D’Onofrio
,
Gerardo Nigro
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3389/fcvm.2023.1193805
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3389/fcvm.2023.1193805
Background There are little data on remote monitoring (RM) of implantable loop recorders (ILRs) in patients with unexplained syncope and whether it confers enhanced diagnostic power. Objective To evaluate the effect of RM in ILR recipients for unexplained syncope for early detection of clinically relevant arrhythmias by comparison with a historical cohort with no RM. Methods SyncRM is a propensity score (PS)-matched study prospectively including 133 consecutive patients with unexplained syncope and ILR followed up by RM (RM-ON group). A historical cohort of 108 consecutive ILR patients with biannual in-hospital follow-up visits was used as control group (RM-OFF group). The primary endpoint was the time to the clinician's evaluation of clinically relevant arrhythmias (types 1, 2, and 4 of the ISSUE classification). Results The primary endpoint of arrhythmia evaluation was reached in 38 patients (28.6%) of the RM-ON group after a median time of 46 days (interquartile range, 13–106) and in 22 patients (20.4%) of the RM-OFF group after 92 days (25–368). The PS-matched adjusted ratio of rates of arrhythmia evaluation was 2.53 (95% confidence interval, 1.32–4.86) in the RM-ON vs. RM-OFF group ( p = 0.005). Conclusion In our PS-matched comparison with a historical cohort, RM of ILR patients with unexplained syncope was associated with a 2.5-fold higher chance of evaluations of clinically relevant arrhythmias as compared with biannual in-office follow-up visits.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3389/fcvm.2023.1193805
- https://www.frontiersin.org/articles/10.3389/fcvm.2023.1193805/pdf
- OA Status
- gold
- Cited By
- 10
- References
- 17
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4380611694
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4380611694Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.3389/fcvm.2023.1193805Digital Object Identifier
- Title
-
Remote monitoring of implantable loop recorders reduces time to diagnosis in patients with unexplained syncope: a multicenter propensity score-matched studyWork title
- Type
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articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-06-14Full publication date if available
- Authors
-
Vincenzo Russo, Anna Rago, N Grimaldi, Raffaele Chianese, Aniello Viggiano, Giuliano D’Alterio, Diego Colonna, Agostino Mattera Iacono, Andrea Antonio Papa, Andrea Spadaro Guerra, Alessio Gargaro, Antonio Rapacciuolo, Berardo Sarubbi, Antonio D’Onofrio, Gerardo NigroList of authors in order
- Landing page
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https://doi.org/10.3389/fcvm.2023.1193805Publisher landing page
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https://www.frontiersin.org/articles/10.3389/fcvm.2023.1193805/pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://www.frontiersin.org/articles/10.3389/fcvm.2023.1193805/pdfDirect OA link when available
- Concepts
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Medicine, Interquartile range, Confidence interval, Syncope (phonology), Clinical endpoint, Cohort, Internal medicine, Cardiology, Implantable loop recorder, Atrial fibrillation, Randomized controlled trialTop concepts (fields/topics) attached by OpenAlex
- Cited by
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10Total citation count in OpenAlex
- Citations by year (recent)
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2025: 2, 2024: 7, 2023: 1Per-year citation counts (last 5 years)
- References (count)
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17Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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