{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T04:10:27Z","timestamp":1788754227501,"version":"build-2803163510"},"reference-count":25,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,6,7]],"date-time":"2021-06-07T00:00:00Z","timestamp":1623024000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Noninvasive Electrocardiol"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The implantable loop recorder (ILR) is a small cardiac rhythm\u2010monitoring device. Our aim was to determine ILR diagnostic value in patients with unexplained syncope, presyncope, or palpitations suggesting cardiac arrhythmias.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This has been a retrospective, observational, single\u2010center study. We included 181 patients in whom ILR was implanted at the Clinical Center of Serbia between January 2006 and July 2019. An event was marked as diagnostic if it led to a diagnosis and ILR was considered diagnostic if it verified or excluded an arrhythmia as the cause of syncope or palpitations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean age was 51.8\u00a0\u00b1\u00a017.8\u00a0years and 94 (51.9%) were male. The mean follow\u2010up period was 20.2\u00a0\u00b1\u00a015.8\u00a0months. ILR was diagnostic in 98 patients (54.1%). There was no significant difference in diagnostic value of ILR in regard to the baseline patients\u2019 characteristics. The mean time to occurrence of the diagnostic event was 11.1\u00a0\u00b1\u00a09.6\u00a0months. The time to occurrence of a diagnostic event did not differ significantly between patients who underwent basic as compared to extended diagnostics before ILR implantation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>ILR was able to achieve an etiological diagnosis in 54.1% of patients with unexplained syncope, presyncope, or palpitations suggesting cardiac arrhythmias. In a subgroup of patients with recurrent palpitations, ILR was significantly less diagnostic than in patients with syncope or presyncope. ILR should be implanted beforehand in syncope evaluation process.<\/jats:p><\/jats:sec>","DOI":"10.1111\/anec.12864","type":"journal-article","created":{"date-parts":[[2021,6,8]],"date-time":"2021-06-08T20:54:40Z","timestamp":1623185680000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Diagnostic value of implantable loop recorders in patients with unexplained syncope or palpitations"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6545-2230","authenticated-orcid":false,"given":"Nikola N.","family":"Radovanovi\u0107","sequence":"first","affiliation":[{"name":"Pacemaker Center Clinical Center of Serbia Belgrade Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sini\u0161a U.","family":"Pavlovi\u0107","sequence":"additional","affiliation":[{"name":"Pacemaker Center Clinical Center of Serbia Belgrade Serbia"},{"name":"Faculty of Medicine University of 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