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Special programming considerations for ILRs
COR LOE Recommendations
1 B-NR 1. In patients with ILRs on RM, it is recommended that clinic
staff confirm an actionable event transmission by reviewing the
electrograms to exclude misdiagnoses.
1 B-NR 2. In patients with ILRs on RM, it is recommended that
programmed alerts be tailored to the clinical indication.
1 B-NR 3. In patients with ILRs on RM and frequent undersensing and/
or oversensing, reprogramming is recommended.
1 B-NR 4. In patients with ILRs on RM for unexplained syncope, it is
recommended to emphasize to the patient the need to perform
a symptom marking or manual transmission immediately
following syncope to obtain a symptom-rhythm correlation.
2a B-NR 5. In patients with ILRs on RM for cryptogenic stroke, it is
reasonable to adjust the sensitivity to improve detection of
atrial fibrillation (AF).
3: No
benefit
C-EO 6. In patients with ILRs on RM with consistent connectivity, in-
office visits are not indicated for routine patient care.