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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45s ECG. 95% accuracy (unpublished)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!