Medtronic
 
 

Insertable
Loop Recorder

Reveal® Plus Insertable Loop Recorder (ILR)

Reveal Plus Insertable Loop Recorder
Just 8 cc, 17 grams
[+] Click to enlarge

Reveal® Plus Insertable Loop Recorder (ILR) is the first and only implantable patient- and automatically activated cardiac monitoring system. Reveal Plus can record an ECG at the time of a syncopal episode that may help rule in or rule out life-threatening arrhythmias.

Who could benefit from Reveal® Plus?
Patients who experience transient symptoms that may suggest a cardiac arrhythmia as well as patients with clinical syndromes or situations at increased risk for arrhythmias, including patients with:1,2

  • Unexplained syncope
  • Near syncope
  • Episodic, recurrent palpitations
  • Drug-refractory epilepsy, seizure-like events, and convulsions

Improved diagnosis

Reveal® Plus may help the physician diagnose where other tests fail

  • Studies show that the rhythm captured during a spontaneous syncopal event may not correlate to the rhythm recorded during tilt-table induced syncopal events3,4,5
  • The American College of Cardiology Foundation (ACCF)/American Heart Association (AHA)6 and the European Society of Cardiology (ESC)7 advise the use of Reveal Plus in the management of syncope

Cost-effectiveness

Early use of Reveal® Plus may reduce syncope diagnosis costs

  • The cost of a primary ILR strategy is 26% less than that of conventional testing in the diagnosis of recurrent, unexplained syncope8
  • Reveal Plus-based treatments may lead to fewer hospitalization days when compared to conventional testing-based treatments9

Simplicity

Reveal Plus is simple to implant and follow up

  • Reveal Plus can be implanted in a short, minimally invasive outpatient procedure
  • With no restrictions due to external wires or recording pads, Reveal Plus is designed to improve patient compliance
  • During a syncopal episode, the ECG is captured via the one-touch patient activator or the pre-programmed automatic activation option
  • Data is easily retrieved and analyzed via the Medtronic programmer
References
  1. ACC/AHA Class I Indications for Ambulatory ECG.
  2. Zaidi A, Clough P, Cooper P, Scheepers B, Fitzpatrick AP. Misdiagnosis of epilepsy: many seizure-like attacks have a cardiovascular cause. J Am Coll Cardiol. July 2000;36(1):181-184.
  3. Deharo JC, Jego C, Lanteaume A, Djiane P. An implantable loop recorder study of highly symptomatic vasovagal patients: the heart rhythm observed during a spontaneous syncope is identical to the recurrent syncope but not correlated with the head-up tilt test or adenosine triphosphate test. J Am Coll Cardiol. February 7, 2006;47(3):587-593.
  4. Moya A, Brignole M, Menozzi C, et al. International Study on Syncope of Uncertain Etiology (ISSUE) Investigators. Mechanism of syncope in patients with isolated syncope and in patients with tilt-positive syncope. Circulation.
  5. Brignole M, Sutton R, Menozzi C, Garcia-Civera R, Moya A, Wieling W. Lack of correlation between the responses to tilt testing and adenosine triphosphate test and the mechanism of spontaneous neurally mediated syncope. Eur Heart J. September 2006;27(18):2232-2239.
  6. Strickberger SA, Benson DW, Biaggioni I, et al. AHA/ACCF Scientific Statement on
    the evaluation of syncope: from the American Heart Association Councils on Clinical
    Cardiology, Cardiovascular Nursing, Cardiovascular Disease in the Young, and Stroke,
    and the Quality of Care and Outcomes Research Interdisciplinary Working Group;
    and the American College of Cardiology Foundation: in collaboration with the Heart
    Rhythm Society: endorsed by the American Autonomic Society. Circulation. January 17,
  7. Brignole M, Alboni P, Benditt DG, et al. Guidelines on management (diagnosis and
    treatment) of syncope – update 2004. Europace. November 2004;6(6):467-537.
  8. Krahn AD, Klein GJ, Yee R, Hoch JS, Skanes AC. Cost implications of testing strategy in patients with syncope: randomized assessment of syncope trial. J Am Coll Cardiol. August 2003;42(3):495-501.
  9. Farwell DJ, Freemantle N, Sulke N. The clinical impact of implantable loop recorders in patients with syncope. Eur Heart J. February 2006:27(3):351-356

Additional Information