Insertable loop recorders for the diagnosis of syncope - horizon scanning review

Record ID 32002000537
Authors' objectives:

To summarise the current research evidence on insertable loop recorders for the diagnosis of syncope.

Authors' recommendations: - Clinical impact: Implantation of the Reveal Plus. Insertable Loop Recorder is a minimally invasive procedure that is additional to other non-invasive diagnostic procedures. However, the patient group likely to benefit most is not well specified at present. Benefit may be measured in provision of tailored therapy instead of non-specific best guesses. - Service impact: There may be some service and staffing implications if use becomes widespread as the device is implanted by existing cardiac pacing services (although implantation only takes 10-15 minutes), and there is a need for data interpretation. - Additional factors: The implantation of an insertable loop recorder may improve yields in a potentially long diagnostic process and allows tailored therapy to be instituted at an earlier stage. This may be welcomed by patients and carers. - Financial and overall NHS impact If only 2% of the elderly who attend A&E with falls that may warrant further cardiovascular assessment, are given an ILR monitor as part of their diagnostic workup the associated costs may be up to 1.74M GBP. The costs of undiagnosed falls could, to some degree, offset this investment.
Authors' methods: Overview
Project Status: Completed
Year Published: 2002
URL for published report:
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: England, United Kingdom
MeSH Terms
  • Prostheses and Implants
  • Syncope
Organisation Name: NIHR Horizon Scanning Centre
Contact Address: The NIHR Horizon Scanning Centre, Department of Public Health, Epidemiology, and Biostatistics, School of Health and Population Sciences, University of Birmingham, 90 Vincent Drive, Edgbaston, Birmingham, B15 2SP. United Kingdom. Tel: +44 121 414 7831, Fax: +44 121 2269
Contact Name:
Contact Email:
Copyright: National Horizon Scanning Centre (NHSC)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.