Key result
Remote monitoring enables early detection of insertable cardiac monitor mechanical failure causing false-positive asystole.
Case Report (n=1)
No
Remote monitoring of insertable cardiac monitors is valuable for the early identification of mechanical device failures, which may manifest as false-positive arrhythmic events.
Remote monitoring may flag late ICM mechanical failures; single case leaves open incidence and surveillance needs.
Insertable cardiac monitors (ICMs) are widely utilized to elucidate unexplained syncope and cryptogenic strokes, and their efficacy has been demonstrated.1,2 During the two to four-year monitoring period, ICMs allow for follow-up through remote monitoring (RM) and early intervention when an event occurs. Although these are used for long monitoring durations, to the best of our knowledge, mechanical failures with these devices have not been previously published. We present the early detection of false positive events immediately after a mechanical failure of the device 11 months postoperatively, in a case with an ICM for RM.
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Takahashi et al. (2023) conducted a case report in Unexplained syncope (n=1). Insertable cardiac monitor with a long-sensing vector (BIOMONITOR Ⅲm) was evaluated on Mechanical failure of the device. Remote monitoring enabled the early detection of false-positive asystole events caused by a mechanical failure of the insertable cardiac monitor 11 months post-implantation.
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