Identification of acute ST-elevation myocardial infarction via remote implantable loop recorder monitor

Abstract

The indications for the use of implantable loop recorders include the evaluation of unexplained palpitations and syncope, embolic stroke of undetermined source, dizziness and lightheadedness presumed to be due to arrhythmogenic etiology, and for atrial fibrillation to guide antiarrhythmic drug therapy or catheter ablation efficacy. Long-term monitoring is especially beneficial if symptoms occur sporadically or are asymptomatic in nature. This is the first case to our knowledge of an acute ST-elevation myocardial infarction which was identified from remote monitoring of an implantable loop recorder through a device clinic.

Keywords: Acute myocardial infarction; Implantable loop recorder; Myocardial ischemia; Remote monitoring; ST-elevation myocardial infarction; Telemedicine.