Key Clinical Message
Insertable Cardiac Monitors are feasible in patients with situs inversus
totalis. Care must be taken to note the opposing anatomic locations of
electrical conduction systems such as sinoatrial node, atrioventricular
node, and His-Purkinje system.
Abstract
We describe a case of ICM
implantation in a 74-year-old woman with SIT and ESUS for detection of
AF. ICM implantation was performed successfully without any
complications. AF was detected at 28 days after ICM insertion. ICMs can
be safely implanted in patients with SIT, allowing successful detection
of AF.