Syncope without changes in cardiac rhythm
Tracing
Manufacturer Medtronic
Device ILR
Field Reveal DX / Reveal XT
N° 7
Patient
A 47-year-old severely depressed man without heart disease complained of multiple atypical episodes of syncope without prodrome, triggering event or trauma. ECG and imaging studies were unremarkable. Under pressure from his relatives, a Reveal DX was implanted and the patient was followed remotely by home monitoring.
Graph and trace
A recording was triggered by the patient following a syncopal event and transmitted via home monitoring.
- normal sinus rhythm;
- oversensing of an artifact during a cardiac cycle creating a spurious appearance of short RR;
- sinus rhythm persisting throughout the recording without change in heart rate;
- trigger by the patient (symptom).
Other articles that may be of interest to you
EGM recordings
EGM recordings
The ILR serves to record an ECG at the time of occurrence of symptoms. A diagnosis is made