Dynamic Data-Driven Management of Atrial Fibrillation Using Implantable Cardiac Monitors: The MONITOR-AF Study

Dynamic Data-Driven Management of Atrial Fibrillation Using Implantable Cardiac Monitors: The MONITOR-AF Study

Observational, multi-center, retrospective study to evaluate the use of ICM (implantable cardiac monitor) versus traditional, non-ICM (non-implantable cardiac monitor) methods such as ECGs (electrocardiogram), Holter, and mobile cardiac outpatient telemetry (MCOT) units.

Even with its increasing popularity and use, the impact of ICMs on AF (atrial fibrillation) management is still being determined and can even be conflicting. Furthermore, the use of ICM is dependent on physician preference. It is hypothesized that dynamic monitoring with ICMs is superior to conventional methods and should be used for all patients with AF. Thus, it aimed to measure the outcomes of using ICM versus more traditional approaches in patients with AF.

Inclusion Criteria

• Patients > 18 years of age
• Present for management of AF
• ICM is inserted at the discretion of the treating physician

Exclusion Criteria

• Patients < 18 years of age
• Presence of a permanent pacemaker, implantable cardiac defibrillator, or cardiac resynchronization therapy
• Unable to tolerate ICM or traditional monitoring with ECG, Holter, or MCOT monitoring
• Unable to tolerate AAD, OAC, and CA as part of AF standard of care
• ICM inserted for cryptogenic stroke or syncope
• Was not followed > 12 months
• CA performed for AF before ICM implant