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Updated: Feb 1, 2026

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

Published on: April 19, 2019

Insertable cardiac monitors: current indications and devices.

Rafi Sakhi¹, Dominic A M J Theuns¹, Tamas Szili-Torok¹

¹a Department of Cardiology, Thoraxcenter , Erasmus Medical Center , Rotterdam , The Netherlands.

Expert Review of Medical Devices

|December 8, 2018

Summary

Insertable cardiac monitors (ICMs) are now indicated for more conditions beyond syncope, including inherited heart conditions and unexplained falls. Newer ICMs offer improved diagnostics and remote monitoring capabilities.

Keywords:

Atrial fibrillation cryptogenic stroke embolic stroke of unknown origin implantable loop recorder insertable cardiac monitor palpitations risk stratification syncope

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Area of Science:

Cardiology
Medical Devices

Background:

Recurrent unexplained syncope is a primary indication for insertable cardiac monitors (ICMs).
Recent advancements have broadened the clinical applications of ICMs.

Purpose of the Study:

To review current indications for ICMs.
To provide an overview of the latest generation of commercially available ICMs.

Main Methods:

Review of current literature and guidelines.
Analysis of features of the latest generation of ICMs.

Main Results:

Expanded indications include inherited cardiomyopathy, channelopathy, suspected epilepsy, and unexplained falls.
ICMs are increasingly used for subclinical atrial fibrillation detection in cryptogenic stroke.
Current ICMs are smaller, easier to implant, offer better diagnostics, and support remote monitoring.

Conclusions:

ICM technology continues to evolve with enhanced features.
Future ICMs may include heart failure monitoring capabilities.