Procedures

Cardiac Device

Implantable Loop Recorder

An implantable loop recorder, or ILR, is a heart monitoring device that is implanted in the body, underneath the chest skin and can record your heart rhythm for 3-4 years. The device allows for continuous recording of the heart’s activity so that syncope (fainting), palpitations, very fast heart rates (tachycardia) or slow heart rates (bradycardia), and hidden arrhythmias can be diagnosed.

During a loop recorder implantation, a minor incision is made and the small device is placed under your skin. The small device works as an electrocardiogram (ECG), continuously monitoring your heart rhythm and rate, storing the data for analysis. The device is also patient activated, which means the device can be activated as symptoms arise – which also assists with diagnosis and treatment.

Photos of a range of heart rhythm medical devices and their dimentions, including the BioMonitor2 by Biotronik and the RevealXT by Medtronic.

What is involved in implantation of a loop recorder?

Insertion of an implantable loop recorder is a very common procedure. This is performed under local anaesthetic with a sedative medication to make you feel comfortable. The procedure takes approximately 15 minutes and is performed in the cardiac catheter laboratory. This is a special room that has a patient table, ECG monitors and other equipment. The staff in the lab will be dressed in hospital theatre clothes and during the procedure will be wearing hats and masks. A nurse or doctor will insert an intravenous line usually into the back of your hand. This is a reliable way to give you medications during the study without further injections. You will also have a blood pressure cuff attached to your arm that will automatically inflate at various times throughout the procedure.

You will also receive antibiotics prior to the procedure. You should ensure that you inform the Doctor if you have any allergies.

The implantable loop recorder is inserted lateral to the breast bone. The area is prepared with a special sterile solution that may feel cold. A large sterile sheet that will partly cover your face will cover you. You will be able to look out from under the sheet to the side and a nurse will be present at all times. You will be given oxygen to breathe by a small tube that is positioned under your nostrils.

At the start of the procedure, the doctor will inject local anaesthetic into the area where the device is to be inserted. This will sting momentarily, but the area will then be numb. If you experience pain or discomfort you should tell the nurse or doctor.

After the procedure

After the procedure you will have some bruising and discomfort in the area that may persist for a couple of days. You will discharge home from the hospital the same day as the procedure, but not allowed to drive that day. A follow up appointment will be arranged to have your device checked in the clinic.