{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T01:23:17Z","timestamp":1777339397716,"version":"3.51.4"},"reference-count":21,"publisher":"IMR Press","issue":"1","license":[{"start":{"date-parts":[[2022,1,17]],"date-time":"2022-01-17T00:00:00Z","timestamp":1642377600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Cardiovasc. Med."],"abstract":"<jats:p>Background: Remote monitoring-enabled insertable cardiac monitors (ICMs) are useful tools for arrhythmias and symptom management. This study sought to evaluate the outcome of ICM implantation in a large, heterogeneous cohort of pediatric and young adult patients. Methods: Single centre, retrospective analysis of patients who underwent ICM implantation in 2010\u20132019. Patients were analysed according to age, symptoms, arrhythmias and underlying heart disease. Results: A total of 200 consecutive patients (58% male), aged 11.5 \u00b1 5.8 years at ICM implantation, were included. Follow-up was 31 \u00b1 18 months. Electrophysiologic study (EPS) was initially performed in 123 patients and was negative in 85%. Patients had no heart disease (57.5%), congenital heart defects (21%), channelopathies (14.5%), cardiomyopathies\/heart tumors (8%). The commonest symptoms were syncope\/presyncope (45.5%) and palpitations (12.5%). A definite diagnosis was made in 63% of patients (positive diagnosis in 25%, negative in 38%) after 8 (2\u201319) months of monitoring. EPS results and the presence\/absence of an arrhythmia before ICM implantation had no impact on the diagnostic yield. Symptomatic patients as well as patients without structural heart disease showed higher diagnostic yield. Patients with a positive diagnosis underwent pacemaker\/implantable cardioverter-defibrillator implantation (13%), pharmacological treatment (10.5%), or catheter ablation (1.5%). Conclusions: In a large cohort of 200 children and young adults, ICMs with remote monitoring showed a high diagnostic yield (63%), especially in symptomatic patients and in patients without structural heart disease.<\/jats:p>","DOI":"10.31083\/j.rcm2301027","type":"journal-article","created":{"date-parts":[[2022,1,21]],"date-time":"2022-01-21T09:29:35Z","timestamp":1642757375000},"source":"Crossref","is-referenced-by-count":5,"title":["A decade of insertable cardiac monitors with remote monitoring in pediatric patients"],"prefix":"10.31083","volume":"23","author":[{"given":"Massimo S.","family":"Silvetti","sequence":"first","affiliation":[{"name":"Pediatric Cardiology and Cardiac Arrhythmias Unit, Bambino Ges\u00f9 Children\u2019s Hospital IRCCS, 000165 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ilaria","family":"Tamburri","sequence":"first","affiliation":[{"name":"Pediatric Cardiology and Cardiac Arrhythmias Unit, Bambino Ges\u00f9 Children\u2019s Hospital IRCCS, 000165 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luigina","family":"Porco","sequence":"first","affiliation":[{"name":"Pediatric Cardiology and Cardiac Arrhythmias Unit, Bambino Ges\u00f9 Children\u2019s Hospital IRCCS, 000165 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabio A.","family":"Saputo","sequence":"first","affiliation":[{"name":"Pediatric Cardiology and Cardiac Arrhythmias Unit, Bambino Ges\u00f9 Children\u2019s Hospital IRCCS, 000165 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Corrado","family":"Di Mambro","sequence":"first","affiliation":[{"name":"Pediatric Cardiology and Cardiac Arrhythmias Unit, Bambino Ges\u00f9 Children\u2019s Hospital IRCCS, 000165 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniela","family":"Righi","sequence":"first","affiliation":[{"name":"Pediatric Cardiology and Cardiac Arrhythmias Unit, Bambino Ges\u00f9 Children\u2019s Hospital IRCCS, 000165 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ilaria","family":"Cazzoli","sequence":"first","affiliation":[{"name":"Pediatric Cardiology and Cardiac Arrhythmias Unit, Bambino Ges\u00f9 Children\u2019s Hospital IRCCS, 000165 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marianna","family":"Cicenia","sequence":"first","affiliation":[{"name":"Pediatric Cardiology and Cardiac Arrhythmias Unit, Bambino Ges\u00f9 Children\u2019s Hospital IRCCS, 000165 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marta","family":"Campisi","sequence":"first","affiliation":[{"name":"Pediatric Cardiology and Cardiac Arrhythmias Unit, Bambino Ges\u00f9 Children\u2019s Hospital IRCCS, 000165 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucilla","family":"Rav\u00e0","sequence":"first","affiliation":[{"name":"Epidemiology Institute, Epidemiology Unit, Bambino Ges\u00f9 Children\u2019s Hospital IRCCS, 000165 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cecilia","family":"Pizzicaroli","sequence":"first","affiliation":[{"name":"Anesthesiology Department Bambino Ges\u00f9 Children\u2019s Hospital IRCCS, 000165 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabrizio","family":"Drago","sequence":"first","affiliation":[{"name":"Pediatric Cardiology and Cardiac Arrhythmias Unit, Bambino Ges\u00f9 Children\u2019s Hospital IRCCS, 000165 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"16242","published-online":{"date-parts":[[2022,1,17]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Shen WK, Sheldon RS, Benditt DG, Cohen MI, Forman DE, Goldberger ZD, et al. 2017 ACC\/AHA\/HRS Guideline for the evaluation and management of patients with syncope: executive summary: a report of the American college of cardiology\/American heart association task force on clinical practice guidelines and the heart rhythm society. 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