According to the patient's history and physical by the physician's assistant, he "was found to have a one minute 'pause' by ambucor alert at 12:45 am for about 60 seconds.He was sleeping at time of event and denies position change as far as he is aware although he was sleeping.He does admit to prior syncope, but none at time of his alert on our monitor and did not have this during his hospital admit.He denies any syncope but admits to occasional lightheadedness which correlates to sinus rhythm with normal rate at time of symptoms on loop monitoring.I personally reviewed the tracings of his sjm confirm rx icm device.I personally called the sjm rep.Who came in today and reports he was not able to reproduce any signal loss with manipulation of device." the cardiologist reviewed the tracings as well and advised explant of sjm device and re-implant of mdt linq recorder.If he has recurrent events on mdt device, plan for permanent pacemaker.The patient then underwent removal of the confirm loop recorder, and had implant of a medtronic linq.There were no complications.
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