{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T05:46:46Z","timestamp":1775886406989,"version":"3.50.1"},"reference-count":11,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2024,9,9]],"date-time":"2024-09-09T00:00:00Z","timestamp":1725840000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2024,9,9]],"date-time":"2024-09-09T00:00:00Z","timestamp":1725840000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pacing Clinical Electrophis"],"published-print":{"date-parts":[[2024,11]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Implantable loop recorder (ILR) allows rhythm\u2010monitoring up to 3 years. They are recommended in patients with recurrent syncope and for the detection of atrial fibrillation (AF) in patients with cryptogenic thromboembolic events. AF and syncope occur more often in elderly patients. However, data in this cohort is limited.<\/jats:p>\n <\/jats:sec>\n \n Methods and results<\/jats:title>\n All patients \u2265 80 years undergoing ILR\u2010implantation between 2011 and 2022 in our center were included. Permanent pacemaker implantation (PPI) and oral anticoagulation due AF were defined as primary endpoints. Forty\u2010five patients \u2265 80 years were included, 33 because of recurrent syncope and 12 because of suspected AF. The average follow up (FU) was 17.6 months. Overall in 22 patients, ILR\u2010implantation led to a therapeutic consequence (48.9%). In the 12 patients who underwent ILR\u2010implantation for detection of AF, AF was detected in nine patients (75%). In the 33 elderly patients who received ILR\u2010implantation after syncope, 11 underwent PPI during FU (33.3%). One patient accidentally removed the ILR himself via the implantation\u2010wound, and no other ILR\u2010related complications were observed.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n ILR are effective and safe in elderly patients. AF was often found in patients with suspected AF, especially in patients after catheter ablation of only documented atrial flutter (AFlu). PPI\u2010rate was high in patients with recurrent syncope and ILR\u2010implantation. Further investigations are necessary to determine whether PPI may be considered in elderly patients with syncope even in the absence of a bifascicular block.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/pace.15071","type":"journal-article","created":{"date-parts":[[2024,9,9]],"date-time":"2024-09-09T07:45:52Z","timestamp":1725867952000},"page":"1449-1453","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Benefits and limitations of implantable loop recorders in the very elderly"],"prefix":"10.1111","volume":"47","author":[{"given":"Hauke","family":"Engelke","sequence":"first","affiliation":[{"name":"Clinic for Cardiology II \u2010 Electrophysiology University of Muenster Muenster Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin","family":"Willy","sequence":"additional","affiliation":[{"name":"Clinic for Cardiology II \u2010 Electrophysiology University of Muenster Muenster Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Florian","family":"Reinke","sequence":"additional","affiliation":[{"name":"Clinic for Cardiology II \u2010 Electrophysiology University of Muenster Muenster Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Rath","sequence":"additional","affiliation":[{"name":"Clinic for Cardiology II \u2010 Electrophysiology University of Muenster Muenster Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hilke","family":"K\u00f6nemann","sequence":"additional","affiliation":[{"name":"Clinic for Cardiology II \u2010 Electrophysiology University of Muenster Muenster Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lars","family":"Eckardt","sequence":"additional","affiliation":[{"name":"Clinic for Cardiology II \u2010 Electrophysiology University of Muenster Muenster Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1431-9886","authenticated-orcid":false,"given":"Gerrit","family":"Frommeyer","sequence":"additional","affiliation":[{"name":"Clinic for Cardiology II \u2010 Electrophysiology University of Muenster Muenster Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,9,9]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehy037"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/anec.12630"},{"key":"e_1_2_9_4_1","unstructured":"2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association for Cardio\u2010Thoracic Surgery (EACTS) | European Heart Journal | Oxford Academic [Internet]."},{"key":"e_1_2_9_5_1","article-title":"Implantable loop recorder is an effective diagnostic tool for unexplained syncope","volume":"59","author":"Bovin A","year":"2012","journal-title":"Dan Med J"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/ehjqcco\/qcab071"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.14174"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2022.05.023"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehab364"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2013.07.044"},{"key":"e_1_2_9_11_1","first-page":"946","article-title":"Typical atrial flutter ablation and the risk of postablation atrial fibrillation","volume":"6","author":"Bertaglia E","year":"2005","journal-title":"Ital Heart J"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl\u20102015\u2010307550"}],"container-title":["Pacing and Clinical Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pace.15071","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/pace.15071","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pace.15071","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T05:04:51Z","timestamp":1775883891000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pace.15071"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,9]]},"references-count":11,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2024,11]]}},"alternative-id":["10.1111\/pace.15071"],"URL":"https:\/\/doi.org\/10.1111\/pace.15071","archive":["Portico"],"relation":{},"ISSN":["0147-8389","1540-8159"],"issn-type":[{"value":"0147-8389","type":"print"},{"value":"1540-8159","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,9]]},"assertion":[{"value":"2024-05-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}