Multi-centre open label randomised controlled trial of immediate enhanced ambulatory ECG monitoring versus standard monitoring in acute unexplained syncope patients

ASPIRED is an open prospective parallel group randomised controlled trial of a 14-day ambulatory heart ECG monitor (BodyGuardianMini; Preventice Solutions)  applied to patients versus standard care monitoring in patients presenting acutely with unexplained syncope.

2234 adult (16 years or older) participants presenting acutely to UK hospitals with syncope remaining unexplained after initial assessment will be recruited in ~26 NHS acute tertiary and district hospitals. Participants will be randomised, 1:1, between the two study arms. Randomisation will be performed using a web-based randomisation service

The study will be conducted over 4 years. Recruitment will take place over 18 months commencing March 2022. All participants will be followed-up for 2 years after the index event.

Brief 2 page summary for potential sites

ASPIRED protocol v3.0

ASPIRED PIS/Consent v3.0

Site recruitment video – all you need to know

More detailed slideset about study

ECTU website

Please contact us via email: or ;or via twitter @theaspiredstudy if you are interested in being a recruiting site.

Status: active

Start Date

August 2021

Chief Investigator

Professor Matt Reed

Coordinated by

Nicola Freeman

Main Trial Site

Royal Infirmary of Edinburgh, St John's Hospital and the Western General Hospital