Value of an implantable ECG monitor for the diagnosis of syncope due to arrhythmias in childhood

The value of an implantable ECG monitor (Reveal TM Plus) is reported in a 1 2 year old child with unexplained syncopal episodes despite extensive inves tigations. Twenty-seven days after the implantation, ventricular tachycardi a at 450/min was recorded at the first recurrence. This case shows that this type of monitoring can be particularly useful whe n an arrhythmia is thought to be the cause of syncope in a child and the in itial investigation is negative.