{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T16:30:42Z","timestamp":1791477042982,"version":"4.3.4"},"reference-count":25,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2015,5,6]],"date-time":"2015-05-06T00:00:00Z","timestamp":1430870400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2015,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Syncope is a frequent complaint in children and adolescents and may be a significant sign of serious pathology. Although patient history, family history, and physical examination are sufficient to reach a diagnosis in most cases of syncope, the cause of syncope still cannot be determined after initial investigation in one\u2010third to half of all patients. The aim of this study was to evaluate the diagnostic yield of implantable loop recorder (\n                      <jats:styled-content style=\"fixed-case\">ILR<\/jats:styled-content>\n                      ) in children with unexplained syncope.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A retrospective review was carried out of clinical data, indications, findings, and a final management strategy in patients who underwent\n                      <jats:styled-content style=\"fixed-case\">ILR<\/jats:styled-content>\n                      implantation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 12 patients with a mean age of 9.4 \u00b1 4.5\u2009years underwent\n                      <jats:styled-content style=\"fixed-case\">ILR<\/jats:styled-content>\n                      (Reveal Plus; Medtronic) implantation.\n                      <jats:styled-content style=\"fixed-case\">ILR<\/jats:styled-content>\n                      implantation indication was syncope in all of the patients. Family history, routine cardiac assessment, including resting 12\u2010lead electrocardiogram, transthoracic echocardiography, 24\u2009h Holter recording, and event recorder findings, were normal with the exception of one patient with (previously corrected) tetralogy of Fallot. After an average of 20\u2009months (range, 1\u201336\u2009months), six patients developed symptoms.\n                      <jats:styled-content style=\"fixed-case\">ILR<\/jats:styled-content>\n                      memory showed torsades de pointes\u2013ventricular fibrillation (\n                      <jats:italic>n<\/jats:italic>\n                      = 3), catecholaminergic polymorphic ventricular tachycardia (\n                      <jats:italic>n<\/jats:italic>\n                      = 1), asystole and ventricular tachycardia (\n                      <jats:italic>n<\/jats:italic>\n                      = 1), and normal sinus rhythm (\n                      <jats:italic>n<\/jats:italic>\n                      = 1). At the time of writing six patients were still in follow up with no symptoms after an average of 25.2\u2009months.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Implantable loop recorder plays an important role in the diagnosis of life\u2010threatening arrhythmias in which syncope is otherwise unexplained.\n                      <jats:styled-content style=\"fixed-case\">ILR<\/jats:styled-content>\n                      implantation should be remembered in children whose symptoms are strongly correlated with rhythm disturbances.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ped.12530","type":"journal-article","created":{"date-parts":[[2014,10,28]],"date-time":"2014-10-28T03:38:37Z","timestamp":1414467517000},"page":"359-366","source":"Crossref","is-referenced-by-count":18,"title":["Evaluation rhythm problems in unexplained syncope etiology with implantable loop recorder"],"prefix":"10.1111","volume":"57","author":[{"given":"Yakup","family":"Ergul","sequence":"first","affiliation":[{"name":"Department of Pediatric Cardiology \u0130stanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Center and Research Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ibrahim Cansaran","family":"Tanidir","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology \u0130stanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Center and Research Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isa","family":"Ozyilmaz","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology \u0130stanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Center and Research Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Celal","family":"Akdeniz","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology \u0130stanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Center and Research Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Volkan","family":"Tuzcu","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology \u0130stanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Center and Research Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,5,6]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(97)00020-X"},{"key":"e_1_2_6_3_1","first-page":"350","article-title":"Dizziness and syncope in adolescence","volume":"86","author":"McLeod KA","year":"2001","journal-title":"Heart"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.2008.00995.x"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.112.3.e228"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.2009.02486.x"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.99.3.406"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.2007.126276"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.2007.121855"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951106001156"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2006.07.018"},{"key":"e_1_2_6_12_1","first-page":"347","article-title":"Idiopathic ventricular arrhythmias detected by an implantable loop recorder in a child with exercise\u2010induced syncope","volume":"40","author":"Akdeniz C","year":"2013","journal-title":"Tex. 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