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Cardiology > Loop recorder
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A loop recorder is an implantable device (also called an implantable loop recorder, or ILR), which is placed inside of the chest where it monitors heart rate and rhythm.
It is a small, lightweight device, roughly the size of a USB memory stick, fitted just below the collarbone through a minor surgical procedure.
This can be performed in-house by one of our experienced cardiologists who have fitted thousands of implantable devices.
A loop recorder offers several advantages over traditional ECGs or Holter monitors. Unlike these methods, which require frequent visits, a loop recorder provides extended monitoring with greater convenience.
This continuous monitoring capability is particularly valuable for the early detection of irregular heart rhythms that may occur sporadically. By identifying these irregularities promptly, the loop recorder facilitates timely and appropriate treatment.
Loop recorders are frequently recommended for patients who experience unexplained or recurrent symptoms that may be related to arrhythmias. Common indications for their use include frequent palpitations, which are irregular or rapid heartbeats that are difficult to diagnose with short-term monitoring.
They are also advised for unexplained syncope, or fainting and light-headedness with no clear cause, as this could be linked to arrhythmias. Loop recorders are also useful for persistent dizziness or light-headedness that might suggest abnormal heart rhythms.
They are also considered when other diagnostic tests have failed to provide clear answers about heart-related symptoms.
The loop recorder provides detailed insights into your heart’s electrical activity. It continuously records your heart rhythms and stores data during abnormal events.
Your cardiologist will review the stored data to identify patterns or irregularities, which helps in making an accurate diagnosis. Based on this analysis, your doctor will recommend appropriate treatment options, which may include medication, lifestyle changes, or further interventions.
After the loop recorder is implanted, you might experience:
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Before the procedure, you will be given antibiotics to reduce the risk of infection, and a small area of skin near your collarbone may be shaved. The area will be injected with a local anaesthetic prior to insertion in order to eliminate any pain or discomfort. The incision for insertion of the device is small, usually around 2cm.
The procedure takes around half an hour to complete. The loop recorder does not usually cause any discomfort once it has been inserted. The readings are taken using a hand-held activator which allows you to trigger the device to record information whenever you are experiencing symptoms. The information it records is then downloaded during your cardiology appointment, to allow the doctor to understand what is going on with your heart in relation to your symptoms. The loop recorder can be worn for months at a time, and is especially helpful in monitoring occasional symptoms, where ECG or 24-hour monitoring does not allow an accurate picture of what is going on.
You may have follow-up appointments to ensure the device is functioning correctly and to review the data it has recorded, assess your heart rhythm and diagnose any issues.
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