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Author(s): Helen O'Brien , Rose Anne Kenny Added: 3 years ago
One of the greatest achievements of public health in the twentieth century has been the almost doubling of life expectancy in the Western world. Yet this now ageing population brings new challenges, as the prevalence of little-understood geriatric conditions increases, together with the rising prevalence of age-related disorders, such as syncope. The definition of syncope, as outlined by the… View more
Author(s): Richard Sutton , Michele Brignole Added: 3 years ago
The implantable loop recorder (ILR) is a small device manufactured by Medtronic Inc., Minneapolis, MN, which is implanted subcutaneously close to the heart. It has the ability to record the electrical activity of the heart, store rhythm disturbances within set parameters and can be triggered by the patient to store events. The loop recorder is a device with a high diagnostic yield and offers… View more
Author(s): Richard Sutton , Michele Brignole Added: 3 years ago
The implantable loop recorder (ILR) is a small device manufactured by Medtronic Inc., Minneapolis, MN, which is implanted subcutaneously close to the heart. It has the ability to record the electrical activity of the heart, store rhythm disturbances within set parameters and can be triggered by the patient to store events. The loop recorder is a device with a high diagnostic yield and offers… View more
Author(s): Rakesh Gopinathannair , Benjamin C Salgado , Brian Olshansky Added: 3 years ago
Heart rate and blood pressure are tightly regulated by autonomic control to effect adequate blood flow as needed. This regulatory process breaks down when the vasovagal reflex is activated. Profound, but brief, circulatory collapse manifests as bradycardia (cardioinhibitory response) and/or hypotension (vasodepressor response) and/or altered cerebral autoregulation, resulting in transient loss of… View more
Author(s): Alessio Galli , Francesco Ambrosini , Federico Lombardi Added: 3 years ago
Since the 1960s, Holter monitoring has been a cornerstone for diagnosing suspected arrhythmias in patients of all ages.1 The most common monitoring systems allow the continuous registration of three or more leads for 24–48 hours; newer Holter monitors allow continuous electrocardiogram (ECG) registration for 2 weeks.1 Extending the time of ECG registration will increase the diagnostic yield of… View more
Author(s): Andrei D Mărgulescu , Mark H Anderson Added: 3 years ago
Motor vehicle travel and driving has become a major component of daily living in the developed world. Sudden incapacity occurring while driving can result in accidents that may be fatal both for the driver and for bystanders. The regulatory approach aims to balance the risk to bystanders against the highly valued individual freedom of motorised mobility. In this article we review some of the… View more
Author(s): Satish Raj , Robert Sheldon Added: 3 years ago
Syncope and palpitations are two common clinical presentations, and both pose difficulties in the approach to their management. They are both symptoms of a number of syndromes, and an efficient approach with targeted therapy is challenging. Cardiac arrhythmia specialists, who lack a compact and accessible guide to management, see many patients with these symptoms in consultation. Recognising this… View more