Internal loop recorders (ILRs) are frequently implanted in patients with syncope or paroxysmal tachycardias. Built-in auto-activation algorithms are not perfect, but have much improved in the newer, smaller devices. We report a case of a 64-year-old patient with recurrent syncope and ILR which detected an atrioventricular block III8 while the patient was asymptomatic. Would you proceed with pac...

AIMS Opinions differ regarding the effectiveness of cardiac pacing in patients affected by reflex syncope. We assessed a standardized guideline-based algorithm in different forms of reflex syncope. METHODS AND RESULTS In this prospective, multi-centre, observational study, patients aged >40 years, affected by severe unpredictable recurrent reflex syncopes, underwent carotid sinus massage (CSM...

Based on the review of Carpenter and Frontera we present a case of a 66-year-old female patient who was implanted with an implantable loop recorder (ILR) (LinQ, Medtronic) due a history of unexplained syncope and symptoms of palpitations. After the procedure the patient was provided with a smartwatch device (E4, Empatica), which measures the photoplethysmography (PPG) signal at the wrist, and a...

INTRODUCTION Routine immunization is a key child survival intervention. Issues related to quality of service delivery pose operational challenges in delivering effective immunization services. Accumulated evidences suggest that "supportive supervision" improves the quality of health care services. During 2009-10, Govt. of Odisha (GoO) and UNICEF jointly piloted this strategy in four districts t...

OBJECTIVES We prospectively evaluated the mechanism of syncope in patients with positive adenosine triphosphate (ATP) tests (defined as the induction of atrioventricular [AV] block with a ventricular pause >/=6 s after an intravenous bolus of 20 mg ATP). BACKGROUND Patients with unexplained syncope tend to have more positive ATP tests results than those without syncope. METHODS An implantab...

PURPOSE Pulmonary vein isolation (PVI) is an established approach to treat symptomatic non-permanent atrial fibrillation (AF). Detecting AF recurrence after PVI is important, if discontinuation of oral anticoagulation after ablation is considered. METHODS Patients with symptomatic paroxysmal AF were enrolled in the prospective randomized mesh ablator vs. cryoballoon pulmonary vein (PV) ablati...

AIMS We prospectively correlated the results of tilt testing (TT) and adenosine triphosphate test (ATP) with the findings observed during a spontaneous syncopal relapse by means of an implantable loop recorder (ILR) in patients with a clinical diagnosis of neurally mediated syncope. METHODS AND RESULTS We included patients with three or more clinically severe syncopal episodes in the last 2 y...

The responses of whole body protein and glucose kinetics and of nitrogen (N) metabolism to non-protein energy intake (NPEI) were determined using an isotope dilution approach and measurement of N balance in three adult male goats. The diets containing 1.0, 1.5 and 2.0 times ME maintenance requirement, with fixed intake of CP (1.5 times maintenance) and percentage of hay (33%), were fed twice da...

We report on initial experiments that examine the relationship between automated measures of machine translation performance (Doddington, 2003, and Papineni et al. 2001) and the Interagency Language Roundtable (ILR) scale of language proficiency/difficulty that has been in standard use for U.S. government language training and assessment for the past several decades (Child, Clifford and Lowe 19...