ILR Implantation

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An implantable loop recorder (ILR) is a heart recorder that is implanted under the skin in the chest. It has multiple uses. The most common is to look for hidden rhythmic causes that can lead to fainting, palpitations, very fast or slow heartbeats, and stroke. take action. A small device is placed under the skin, on the chest wall, and over the heart. This device acts as an electrocardiogram (ECG), continuously recording electrical signals from the heart. This helps find arrhythmias that can cause various problems such as fainting.


A special group of cells usually initiates an electrical signal to initiate a heartbeat. These cells are located in the sinus node (SA). This nodule is located in the right atrium, the upper right chamber of the heart. The signal travels rapidly through the heart's conduction system to the ventricles. These are her two lower chambers of your heart. When it moves, the signal causes nearby parts of the heart to contract. This helps the heart to pump blood in a coordinated manner.

Disturbances in this signaling pathway can lead to cardiac arrhythmias. These can cause many problems such as: B. Fainting and palpitations. An arrhythmia (arrhythmia) prevents the heart from pumping as much blood as it needs. A temporary reduction in blood flow to the brain causes fainting. When the rhythm returns to normal, people usually regain consciousness.

If you have fainting spells or heart palpitations and other tests are still unanswered, you may need a loop recorder. Repeated fainting spells can negatively affect physical and mental health. Also, certain types of fainting greatly increase the chance of sudden death. These fainting spells should be diagnosed and treated as soon as possible.

Older people with unexplained falls may also need a loop recorder. Health care providers may use it in people who are thought to have epilepsy and do not respond to medication. In either case, the recorder can determine if abnormal rhythms are a problem.



What to expect during the procedure

Ask your healthcare provider about what to expect during your procedure. Normally, you can expect the following:


  • You may be given medicine to help you relax.

  • A local anesthetic will be put on your skin to numb it.

  • Your healthcare provider will make a small incision in your skin. This is usually done in the left upper chest.

  • Your healthcare provider will create a small pocket under your skin. He or she will place the loop recorder in this pocket. The machine is about the size of a flat AA battery.

  • Your incision will be closed with sutures. A bandage will be put on the area.

Accounting for thorough experience and practice, Dr. Aritra Konar is a Consultant Interventional Cardiologist at Apollo Gleneagles Hospital, Kolkata. He has been deemed one of the best cardiologists in Kolkata for his expertise lies in Coronary (femoral & radial routes) angiography, Coronary angioplasty (including primary angioplasty), Peripheral angiography and angioplasty, Permanent pacemaker, ICD , CRT implantation, BMV, BPV, Right heart catheterization and so on, in procedural skills. His guidance is trusted and so are his skills.

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