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Cardiac Diagnostics and Monitoring
Monitor longer. Fight secondary stroke.
Reveal LINQ™ ICM & LINQ II™ ICM
Cryptogenic, large-vessel, and small-vessel stroke patients can benefit from insertable cardiac monitoring (ICM) for atrial fibrillation (AF) detection, which helps inform secondary stroke prevention strategies.
Up to 30% of cryptogenic stroke patients have undetected paroxysmal AF at three years post-stroke.2 12% of large- and small-vessel stroke patients have undetected AF 12 months post-stroke.3
Watch clinicians discuss the importance of long-term cardiac monitoring to detect AF and prevent secondary stroke.
Additionally, compared to external monitors, ICM use in cryptogenic stroke patients was associated with5:
Watch as experts discuss the role of ICMs for secondary stroke prevention.
Accuracy matters. When finding and treating AF in a stroke patient could mean preventing a recurrent stroke, you need a cardiac monitor you can rely on. Medtronic ICMs are the most accurate ICMs on the market,11–23 and are proven 3x more effective for AF detection post-stroke than 30-day external monitors.10
Studies have also demonstrated that Medtronic ICMs are cost-effective for the prevention of secondary stroke through AF detection and subsequent medical management in a U.S. cryptogenic stroke population. In fact, immediate Medtronic ICM placement post-stroke was found to be cost-effective versus the standard of care, and cost-saving versus using an external monitor first.24 There is also a 50.2% estimated decrease in patient out-of-pocket costs with an ICM compared to using a 30-day monitor first.25
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Medtronic ICM insertion is quick and easy. Learn more by requesting a product demonstration.
Access educational resources for healthcare professionals and patients.
Watch webinars on secondary stroke prevention and the role of insertable cardiac monitoring.
Get information about how to get started with creating a stroke pathway.
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Mohan KM, Wolfe CDA, Rudd AG, Heuschmann PU, Kolominsky-Rabas PL, Grieve AP. Risk and cumulative risk of stroke recurrence: a systematic review and meta-analysis. Stroke. May 2011;42(5):1489–1494.
Sanna T, Diener HC, Passman RS, et al. Cryptogenic Stroke and Underlying Atrial Fibrillation (CRYSTAL AF). N Engl J Med. June 26, 2014;370(26):2478–2486.
Bernstein RA, Kamel H, Granger CB, et al. Effect of Long-term Continuous Cardiac Monitoring vs Usual Care on Detection of Atrial Fibrillation in Patients With Stroke Attributed to Large- or Small-Vessel Disease: The STROKE-AF Randomized Clinical Trial. JAMA. June 1, 2021;325(21):2169–2177.
Tsivgoulis G, Katsanos AH, Grory BM, et al. Prolonged Cardiac Rhythm Monitoring and Secondary Stroke Prevention in Patients with Cryptogenic Cerebral Ischemia. Stroke. August 2019;50(8):2175–2180.
Yaghi S, Ryan MP, Gunnarsson CL, et al. Longitudinal outcomes in cryptogenic stroke patients with and without long-term cardiac monitoring for atrial fibrillation. Heart Rhythm O2. February 13, 2022;3(3):223–230.
Rubiera M, Aires A, Antonenko K, et al. European Stroke Organisation (ESO) guideline on screening for subclinical atrial fibrillation after stroke or transient ischaemic attack of undetermined origin. Eur Stroke J. September 2022;7(3):VI.
Kleindorfer DO, Towfighi A, Chaturvedi S, et al. 2021 Guideline for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack: A Guideline From the American Heart Association/American Stroke Association. Stroke. July 2021;52(7):e364–3467.
Hindricks G, Potpara T, Dagres N, et al. 2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS): The Task Force for the diagnosis and management of atrial fibrillation of the European Society of Cardiology (ESC) Developed with the special contribution of the European Heart Rhythm Association (EHRA) of the ESC. Eur Heart J. February 1, 2021;42(5):373–498.
January CT, Wann LS, Calkins H, et al. 2019 AHA/ACC/HRS Focused Update of the 2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. J Am Coll Cardiol. July 9, 2019;74(1):104–132.
Buck BH, Hill MD, Quinn FR, et al. Effect of Implantable vs Prolonged External Electrocardiographic Monitoring on Atrial Fibrillation Detection in Patients With Ischemic Stroke: The PER DIEM Randomized Clinical Trial. JAMA. June 1, 2021;325(21):2160–2168.
Pürerfellner H, Sanders P, Sarkar S, et al. Adapting detection sensitivity based on evidence of irregular sinus arrhythmia to improve atrial fibrillation detection in insertable cardiac monitors. Europace. November 1, 2018;20(FI_3):f321–f328.
Nölker G, Mayer J, Boldt L, et al. Performance of an Implantable Cardiac Monitor to Detect Atrial Fibrillation: Results of the DETECT AF Study. J Cardiovasc Electrophysiol. December 2016;27(12):1403–1410.
Confirm Rx™* ICM K163407 FDA Clearance Letter. 2017.
Confirm Rx ICM K182981 FDA Clearance Letter. 2019.
Jot Dx™* ICM K212206 FDA Clearance Letter. 2021.
Monitoring Devices Merlin™* PCS Help Manual for SJM Confirm™*, Confirm Rx ICM, Jot Dx Manual. 2021.
BIOTRONIK BioMonitor™* 2 Technical Manual. 2017.
BIOTRONIK BIOMONITOR III Technical Manual. 2020.
BIOTRONIK BIOMONITOR IIIm Technical Manual. 2020.
BIOTRONIK BIOMONITOR III. K190548 FDA Clearance. 2019.
BIOTRONIK BIOMONITOR IIIm. K201865 FDA Clearance. 2020.
Lux-Dx™* ICM K212206 FDA Clearance Letter. 2020.
Lux-Dx ICM User Manual. 2020.
Sawyer LM, Witte KK, Reynolds MR, et al. Cost-effectiveness of an insertable cardiac monitor to detect atrial fibrillation in patients with cryptogenic stroke. J Comp Eff Res. February 2021;10(2):127–141.
Chalfoun N, Pierobon J, Rosemas SC, et al. A cost comparison of atrial fibrillation monitoring strategies after embolic stroke of undetermined source. Am Heart J Plus: Cardiol Res Pract. September 2022;21:100195.