Syncope pp 291-308 | Cite as

How to: Prolonged Ambulatory ECG Monitoring

  • Michele Brignole
  • David G. Benditt


Prolonged electrocardiographic (ECG) monitoring is among the most valuable tools for determining if T-LOC is due to syncope, and thereafter substantiating the cause of syncope. Currently, the available prolonged ECG monitoring techniques include in-hospital telemetry, 1- to 7-day ambulatory Holter monitoring, external loop recorders (ELRs), remote (at home) telemetry, and implantable loop recorders (ILRs).


Sinoatrial Node Tilt Testing Cardiac Pace Temporary Pacemaker Loop Recorder 
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  1. 1.
    Moya A, et al. Guidelines for the Diagnosis and Management of Syncope (Version 2009). Eur Heart J. 2009;30:2631–2671.PubMedCrossRefGoogle Scholar
  2. 2.
    Brignole M, et al. Indications for the use of diagnostic implantable and external ECG loop recorders. Europace. 2009;11:671–687.PubMedCrossRefGoogle Scholar
  3. 3.
    Brignole M, et al. Early application of an implantable loop recorder allows effective specific therapy in patients with recurrent suspected neutrally-mediated syncope. Eur Heart J. 2006;27:1085–1092.PubMedCrossRefGoogle Scholar
  4. 4.
    Brignole M, et al. Proposed electrocardiographic classification of spontaneous syncope documented by an Implantable Loop Recorder. Europace. 2005;7:14–18.PubMedCrossRefGoogle Scholar
  5. 5.
    Brignole M, et al. Lack of correlation between the responses to tilt testing and adenosine triphosphate test and the mechanism of spontaneous neurally-mediated syncope. Eur Heart J. 2006;27:2232–2239.PubMedCrossRefGoogle Scholar
  6. 6.
    Brignole M, et al. The mechanism of syncope in patients with bundle branch block and negative electrophysiologic test. Circulation. 2001;104:2045–2050.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag London Limited 2011

Authors and Affiliations

  1. 1.Dipartimento di Cardiologia, Centro AritmologicoOspedali del TigullioLavagnaItaly
  2. 2.Cardiac Arrhythmia CenterMedical School, University of MinnesotaMinneapolisUSA

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