A definitive diagnosis in patients with syncope is often problematic i
f the cause is not evident after initial clinical assessment. The caus
e of syncope may be not established due to the infrequent, episodic oc
currence. A symptom-rhythm correlation is frequently an unattainable g
old standard in many patients. The implantable Hotter has added a powe
rful tool to the diagnostic armamentarium in the field of arrhythmia d
etection and may assume a prominent role in the investigation of synco
pe.