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Title: The first case of the Reveal LINQ™ Insertable Cardiac Monitor implanted in a child in Malta
Authors: Aquilina, Annelise
Aquilina, Oscar
Sammut, Marvic
Grech, Victor E.
Keywords: Cardiovascular instruments, Implanted
Bradycardia -- Malta
Heart block
Arrhythmia in children -- Malta
Issue Date: 2017-10
Publisher: Images in Paediatric Cardiology
Citation: Aquilina, A., Aquilina, O., Sammut, M., & Grech, V. (2017). The first case of the Reveal LINQ™ Insertable Cardiac Monitor implanted in a child in Malta. Images in Paediatric Cardiology, 19(4), 10-21.
Abstract: Background: The Reveal LINQ™ Insertable Cardiac Monitor (ICM) or Implantable Loop recorder (ILR), is a miniaturized, subcutaneous, single lead, electrocardiographic monitoring device which has been extensively used in the differential diagnosis of unexplained syncope and palpitations in adults. Patient Description: We describe an asymptomatic 20-month-old boy, noted to have incidental bradycardia on routine examination and in whom Holter monitoring revealed complete heart block (CHB). Over 1 year, the longest recorded pause lengthened from 1.8 seconds to 3.6 seconds. Results: The Reveal LINQ™ ICM was inserted for long-term monitoring of the CHB. The device will record the electrocardiogram (ECG) continuously for up to 3 years, freezing in its memory any significant arrhythmic events. This will enable the diagnosis of the longest pauses, confirm whether they are lengthening over time and assist with the decision of pacemaker implantation. Conclusion: The Reveal LINQ™ ICM is much smaller than the conventional loop recorder and has been shown to be ideal for close monitoring of asymptomatic yet potentially dangerous arrhythmias in young children.
Appears in Collections:IPC, Volume 19, Issue 4
IPC, Volume 19, Issue 4
Scholarly Works - FacM&SMed
Scholarly Works - FacM&SPae

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