Wechselberger Simon, Piorkowski Christopher, Pohl Matthias
Steinbeis Research Center on Electrophysiology and Cardiac Devices, Fetscherstraße 111, 01307, Dresden, Germany.
Department of Invasive Electrophysiology, Technical University of Dresden, Heart Center, University Hospital, Fetscherstraße 76, 01307, Dresden, Germany.
Herzschrittmacherther Elektrophysiol. 2016 Dec;27(4):366-370. doi: 10.1007/s00399-016-0475-x.
The scope of application for implantable loop recorders has shifted away from the evaluation of unclear palpitations and syncope episodes to more complex conditions. This article focuses on rare indications of growing importance such as rhythm monitoring after ablation of atrial fibrillation or after cryptogenic stroke. Furthermore, forthcoming applications in various clinical settings are described, e. g., arrhythmia detection after myocardial infarction, after catheter-based valve interventions, in heart failure, and in cardiomyopathies. Enhancement of the capabilities of implantable loop recorders could broaden their fields of use.
植入式循环记录仪的应用范围已从不明原因的心悸和晕厥发作的评估转向更复杂的情况。本文重点关注日益重要的罕见适应症,如房颤消融术后或不明原因卒中后的心律监测。此外,还描述了其在各种临床环境中的未来应用,例如心肌梗死后、基于导管的瓣膜干预后、心力衰竭和心肌病中的心律失常检测。植入式循环记录仪功能的增强可能会拓宽其应用领域。