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Syncope is a common symptom that may be related to a conductive disorder. If no bradycardia is authenticated, it is often necessary to implant an implantable loop recorder.
In somes cases, implantable loop recorder records cardiac conductive disorders. In this study, we want to try to identify a group of patients for whom we could immediately implant a pacemaker without prior implantation of an implantable loop recorder given the high probability of implantation of a pacemaker after interrogation of the implantable loop recorder. It would be interesting for the reduction of interventions for the patients and for the economic aspect of the healthcare system
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Syncope and Implantable loop recorder | Patients implanted with a subcutaneous Loop Recorder after syncope in Nancy University Hospital |
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| Measure | Description | Time Frame |
|---|---|---|
| significant bradycardia whitch result with an Indication of pacemaker implantation | 2° and 3° AV block, sinus node dysfunction with pause > 8 sec or > 3sec with concomitant symptoms, sick sinus syndrom | At the moment of enregistrement of a significative arrhythmia or at the end of the 3 years of follow up |
| Measure | Description | Time Frame |
|---|---|---|
| Patient group without benefit of implantation of the Implantable Loop Recorder | non significant bradicardia or arythmias revealed by loop recorder during monitoring | At the end of the 3 years of follow-up |
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Inclusion Criteria:
Exclusion Criteria:
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All patients who have benefited from an Implantable Loop recorder in the Nancy's Teaching Hospital between 1 January 2010 and 31 decembre 2019
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Guillaume E DE CIANCIO, MD | Contact | 0683050105 | g.deciancio@gmail.com | |
| Arnaud OLIVIER, MD | Contact | a.olivier@chru-nancy.fr |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| De Ciancio | Recruiting | Vandœuvre-lès-Nancy | 54500 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29562304 | Background | Brignole M, Moya A, de Lange FJ, Deharo JC, Elliott PM, Fanciulli A, Fedorowski A, Furlan R, Kenny RA, Martin A, Probst V, Reed MJ, Rice CP, Sutton R, Ungar A, van Dijk JG; ESC Scientific Document Group. 2018 ESC Guidelines for the diagnosis and management of syncope. Eur Heart J. 2018 Jun 1;39(21):1883-1948. doi: 10.1093/eurheartj/ehy037. No abstract available. | |
| 25759408 |
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anonymous individual datas for baseling pre implantatory caracteristcs and clinical outecome would be available
6 month
Data access request will be reviewed by investigator team. Requestors will be required to signe a data access agreement
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| ID | Term |
|---|---|
| D013575 | Syncope |
| D001145 | Arrhythmias, Cardiac |
| ID | Term |
|---|---|
| D014474 | Unconsciousness |
| D003244 | Consciousness Disorders |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
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| Edvardsson N, Wolff C, Tsintzos S, Rieger G, Linker NJ. Costs of unstructured investigation of unexplained syncope: insights from a micro-costing analysis of the observational PICTURE registry. Europace. 2015 Jul;17(7):1141-8. doi: 10.1093/europace/euu412. Epub 2015 Mar 10. |
| 30357866 | Background | Padmanabhan D, Kancharla K, El-Harasis MA, Isath A, Makkar N, Noseworthy PA, Friedman PA, Cha YM, Kapa S. Diagnostic and therapeutic value of implantable loop recorder: A tertiary care center experience. Pacing Clin Electrophysiol. 2019 Jan;42(1):38-45. doi: 10.1111/pace.13533. Epub 2018 Dec 4. |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D010335 | Pathologic Processes |