Skip to main content
    • Aa
    • Aa
  • Get access
    Check if you have access via personal or institutional login
  • Cited by 9
  • Cited by
    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    Saygi, Murat Ergul, Yakup Ozyilmaz, Isa Sengul, Fatma Sevinc Guvenc, Osman Aslan, Eyup Guzeltas, Alper Akdeniz, Celal and Tuzcu, Volkan 2016. Using a Cardiac Event Recorder in Children with Potentially Arrhythmia-Related Symptoms. Annals of Noninvasive Electrocardiology, p. n/a.

    Usadel, Lea Haverkämper, Guido Herrmann, Susanne Löber, Rebekka Weiss, Katja Opgen-Rhein, Bernd Berger, Felix and Will, Joachim C. 2016. Arrhythmia Detection in Pediatric Patients: ECG Quality and Diagnostic Yield of a Patient-Triggered Einthoven Lead-I Event Recorder (Zenicor EKG-2™). Pediatric Cardiology, Vol. 37, Issue. 3, p. 491.

    Ergul, Yakup Tanidir, Ibrahim Cansaran Ozyilmaz, Isa Akdeniz, Celal and Tuzcu, Volkan 2015. Evaluation rhythm problems in unexplained syncope etiology with implantable loop recorder. Pediatrics International, Vol. 57, Issue. 3, p. 359.

    Sadri, Hamid and Winsor, Pamela 2014. L’effet de l’adoption tardive des innovations canadiennes : le cas des moniteurs cardiaques implantables. Healthcare Management Forum, Vol. 27, Issue. 1, p. S52.

    Sadri, Hamid and Winsor, Pamela 2014. The effect of late adoption of Canadian innovations: A case for implantable cardiac monitors. Healthcare Management Forum, Vol. 27, Issue. 1, p. S46.

    AL DHAHRI, KHALID N. POTTS, JAMES E. CHIU, CHRISTINE C. HAMILTON, ROBERT M. and SANATANI, SHUBHAYAN 2009. Are Implantable Loop Recorders Useful in Detecting Arrhythmias in Children with Unexplained Syncope?. Pacing and Clinical Electrophysiology, Vol. 32, Issue. 11, p. 1422.

    Kenny, D. Chakrabarti, S. Ranasinghe, A. Chambers, A. Martin, R. and Stuart, G. 2009. Single-centre use of implantable loop recorders in patients with congenital heart disease. Europace, Vol. 11, Issue. 3, p. 303.

    FRANGINI, PATRICIA A. CECCHIN, FRANK JORDAO, LIGIA MARTUSCELLO, MARIA ALEXANDER, MARK E. TRIEDMAN, JOHN K. WALSH, EDWARD P. and BERUL, CHARLES I. 2008. How Revealing Are Insertable Loop Recorders in Pediatrics?. Pacing and Clinical Electrophysiology, Vol. 31, Issue. 3, p. 338.

    Sreeram, N. Gass, M. Apitz, C. Ziemer, G. Hofbeck, M. Emmel, M. Brockmeier, K. Hitchcock, F. and Bennink, G. 2008. The diagnostic yield from implantable loop recorders in children and young adults. Clinical Research in Cardiology, Vol. 97, Issue. 5, p. 327.


Use of the implantable loop recorder in children and adolescents

  • Matthias Gass (a1), Christian Apitz (a1), Schahriar Salehi-Gilani (a2), Gerhard Ziemer (a2) and Michael Hofbeck (a1)
  • DOI:
  • Published online: 20 November 2006

Introduction: Recurrent but infrequent syncopes represent a diagnostic challenge, since they frequently remain unexplained despite extensive investigations. This applies specifically for patients who carry an increased risk of potentially lifethreatening arrhythmias, either due to congenital cardiac disease or primary electrical disorders. Implantable loop recorders permit long-term electrocardiographic monitoring. Experience with these devices is still limited in children. Patients and methods: Between January 1999 and August 2005, 12 patients underwent implantation of a loop recorder in our tertiary referral centre. The mean age was 10.9 years, with a range from 2 to 17 years. Of the patients, 6 had structural disease, 3 had primary electrical abnormalities, and 3 had no cardiovascular disease. Results: Resyncope occured in 9 of the 12 patients. Arrhythmic origin of the syncope was diagnosed in 4 of these patients. The events recorded were ventricular fibrillation in 2, intermittent asystole in 1, and pacemaker-syndrome in the other patient. Malignant arrhythmia was ruled out in the remaining 5 patients. There were no complications related to implantation of the loop recorder, and the mean duration until explantation was 8.3 months. Conclusions: Based on our experience, we suggest that implantation of a loop recorder represents an additional tool for a selected group of children. Due to its invasive nature, it should be restricted to patients at high risk, or those in which there is substantial clinical suspicion of the likelihood of serious arrhythmias when conventional testing has been inconclusive. In this cohort, implantation of the loop recorder either helps to establish the correct diagnosis, or to exclude an arrhythmic event, thus avoiding unnecessary escalation of therapy and providing reassurance for the family.

Corresponding author
Correspondence to: Matthias Gass MD, Department of Pediatric Cardiology, Children's Hospital, University of Tuebingen, Hoppe-Seyler-Strasse 3, 72076 Tuebingen, Germany. Tel: +49 7071 2984751; Fax: +49 7071 295127; E-mail:
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Cardiology in the Young
  • ISSN: 1047-9511
  • EISSN: 1467-1107
  • URL: /core/journals/cardiology-in-the-young
Please enter your name
Please enter a valid email address
Who would you like to send this to? *