How are recurrent syncope or palpitations assessed in the evaluation of ventricular tachycardia (VT)?

Updated: Dec 05, 2017
  • Author: Steven J Compton, MD, FACC, FACP, FHRS; Chief Editor: Jeffrey N Rottman, MD  more...
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Answer

Occasionally, patients present with recurrent syncope or palpitations. In this setting, an arrhythmic cause of syncope may be sought. Options include Holter monitoring, which has a low yield, and event recording. The goal is to document the patient’s rhythm during symptoms. Individuals with infrequent symptoms are best served by the implantation of a loop recorder, which may have a battery life of 2-4 years.

If such techniques are not practical, a provocative electrophysiologic study can be performed.


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