Lacunza-Ruiz Francisco J, Moya-Mitjans Angel, Martínez-Alday Jesús, Barón-Esquivias Gonzalo, Ruiz-Granell Ricardo, García-Alberola Arcadi
University Hospital Virgen de la Arrixaca, Ctra Madrid Cartagena sn. El Palmar, 30120, Murcia, Spain.
University Hospital Vall d´Hebron, Universidad Autónoma de Barcelona, Barcelona, Spain.
Eur Geriatr Med. 2019 Feb;10(1):129-133. doi: 10.1007/s41999-018-0128-1. Epub 2018 Nov 30.
BACKGROUND/OBJECTIVES: Syncope 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.
Prospective registry of patients receiving an implantable loop recorder in 40 Spanish centers.
128 octogenarians implanted with a device for clinical evaluation of syncope.
Prospective 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.
Forty-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.
The implantable loop recorder seems to be an effective and safe tool in the management of syncope in the octogenarian population.
背景/目的：就合并症、生活质量以及研究和治疗产生的高昂医疗费用而言，老年患者的晕厥是一个重要问题。植入式循环记录仪（ILR）可能会提高诊断效能。本研究的目的是评估ILR在老年人群中的应用结果。
对西班牙40个中心接受植入式循环记录仪的患者进行前瞻性登记。
128名植入设备以进行晕厥临床评估的老年患者。
前瞻性登记记录植入后第一年内新症状或设备激活的发生率、新诊断和治疗的发生率，并评估该策略在该人群中的安全性。为登记建立专用数据库。
42名患者（占总人群的33%）最终获得了晕厥的病因诊断，其中39名（31%）患者因此接受了针对性治疗。该人群在传导障碍或结构性心脏病的存在方面未发现差异。随访期间记录的死亡率为4%。
植入式循环记录仪似乎是管理老年人群晕厥的一种有效且安全的工具。
