endovascular cardiac complicatons – - reveal...

Pr Haran BurriElectrophysiology Unit

Cardiology Department

Reveal LinQ

Implantable Loop Recorders (ILR)

Confirm Rx ®,

Abbott/St Jude Medical

-Bluetooth transmission with cell phone

Biomonitor 2 ®,

BiotronikReveal Linq ®

Medtronic

Medtronic Reveal®

AF detection by ILRAF

AFl

AFl

SR

Circ Arrhythm Electrophysiol 2010;3;141-147

ILR vs simultaneous 46-hour Holter (n=206)

Sensitivity Specificity PPV NPV Accuracy

96% 85% 79% 97% 98.5%

ILR vs Holter AF burden

r=0.976

n = 247

ILR vs simultaneous 46h Holter

No automatic remote monitoring

Europace (2011) 13, 480–485

• 87% smaller than Reveal XT

• 20% more memory

• Projected Longevity: 3 years

• MRI conditional: 1.5 & 3.0 T

Reveal LinQ

59min memory storage

Heart Rhythm 2016;13:1425–1430

Reveal Linq vs

24-h Holter

N Engl J Med 2014;370:2478-86.

Cryptogenic stroke/TIA

ECG, Holter, TEE,

thrombophilia; imaging of

the head and neck vx

441 pts ILR vs control

AF > 30s

CareLink transmissions for ILR

Median value for the max. time

in AF in a single day was 11.2 h30% vs 3% at 3 yrs

Medtronic SEEQ

Zio Patch

Handheld ECG recorders

Lohmann tech AFibAlert®

AF detection + feedback

45s ECG. 95% accuracy (unpublished)

USA, FDA

249 USD

Dimitek ®

Various models

China

HeartCheck ®

Canada, FDA

ECG interpretation (12.50USD in 24h)

259 USD

DailyCare® InstantCheck

Taiwan, FDA + CECreative Medical ® PC-80BT

China, FDA+CE

100Euros

Reka E 100®

Singapore, FDA + CE

MyDiagnostick®

Holland

720 Euros

Zenicor®

Sweden

Price ? (tender only)

Beurer® ME 80/90

Germany

170 Euros

AliveCor ® Kardia

USA

99 USD

CardiacDesigns®ECGCheck

USA

AF detection + feedback

139 USD

Photopletysmography (PPG)

Continuous rhythm screening

ECG

Rhythm diagnosis

Thank you!