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.