This learning session will provide an in-depth understanding of the comparative evidence and the appropriate use of Ambulatory Cardiac Monitors (ACM). Participants will explore the critical aspects of evaluating and applying the evidence in clinical practice to improve patient outcomes and reduce healthcare costs. The session will cover the evolution of ACMs, highlighting contemporary use and applications.

• Identify the different types of ambulatory cardiac monitors (ACMs). For example: Holter, long term continuous monitors (LTCM), ambulatory event monitors (AEM), mobile cardiac telemetry (MCT), and implantable loop recorders (ILR)) and understand the differences between each type.
• Evaluate the advantages and limitations of each ACM with respect to accuracy and reliability of data, patient compliance, diagnostic yield, technology advancements (AI, form factor, remote monitoring, integration), and future trends associated with each.
• Evaluate how the use of each ACM impacts time to diagnosis and treatment, clinical outcomes, and healthcare costs, while exploring which ACMs can provide insights into adjacent fields and health prediction modeling to identify risk earlier in the patient care journey.

Andrew Krahn, MD
Sanjiv Narayan, MD, PhD

A Technical Overview of ACM: Advantages, Limitations, and Evidence
Presenter(s): Elaine Y. Wan, MD

Considerations for ACM: Importance of Data Reliability, Accuracy, and Duration
Presenter(s): Jonathan C. Hsu, MD

The Impact of ACM on Clinical Outcomes and Healthcare Costs
Presenter(s): Suneet Mittal, MD

Elaine Wan:

• Boston Scientific (Honoraria/Speaking/Consulting Fee - Research)
• abbott (Honoraria/Speaking/Consulting Fee - Research)

Jonathan Hsu:

• Vektor Medical, Inc. (Stock Options – Privately Held (including start-up companies) - Consulting)
• Zoll Medical Corporation (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)
• Boston Scientific (Honoraria/Speaking/Consulting Fee - Independent Contractor (including contracted research))
• iRhythm Technologies (Honoraria/Speaking/Consulting Fee - Independent Contractor (including contracted research))
• AltaThera Pharmaceuticals (Honoraria/Speaking/Consulting Fee - Consulting)
• Viz.AI (Honoraria/Speaking/Consulting Fee - Consulting)
• Biosense Webster, Inc. (Research (Contracted Grants for PIs and Named Investigators only) - Research)
• Biosense Webster, Inc. (Honoraria/Speaking/Consulting Fee - Independent Contractor (including contracted research))
• Pfizer, Inc. (Honoraria/Speaking/Consulting Fee - Independent Contractor (including contracted research))
• Bristol-Myers Squibb (Honoraria/Speaking/Consulting Fee - Independent Contractor (including contracted research))
• Janssen Pharmaceuticals (Honoraria/Speaking/Consulting Fee - Independent Contractor (including contracted research))
• Sanofi (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)
• Acutus Medical Inc (Honoraria/Speaking/Consulting Fee - Independent Contractor (including contracted research))
• Medtronic (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)
• Biotronik (Honoraria/Speaking/Consulting Fee - Independent Contractor (including contracted research))
• Abbott (Honoraria/Speaking/Consulting Fee - Independent Contractor (including contracted research))
• Biotronik (Research (Contracted Grants for PIs and Named Investigators only) - Research)
• Milestone Pharmaceuticals (Honoraria/Speaking/Consulting Fee - Consulting)

Suneet Mittal:

• ScottCare Inc, (Honoraria/Speaking/Consulting Fee - Consulting)
• Abbott (Honoraria/Speaking/Consulting Fee - Consulting)
• Biosense Webster, Inc. (Honoraria/Speaking/Consulting Fee - Consulting)
• Boston Scientific (Honoraria/Speaking/Consulting Fee - Consulting)
• CathVision (Honoraria/Speaking/Consulting Fee - Consulting)
• CVRx Inc. (Honoraria/Speaking/Consulting Fee - Consulting)
• Haemonetics (Honoraria/Speaking/Consulting Fee - Consulting)
• Impulse Dynamics USA (Honoraria/Speaking/Consulting Fee - Consulting)
• iRhythm Technologies (Honoraria/Speaking/Consulting Fee - Consulting)
• Medtronic (Honoraria/Speaking/Consulting Fee - Consulting)
• Philips (Honoraria/Speaking/Consulting Fee - Consulting)
• Viz.AI (Honoraria/Speaking/Consulting Fee - Consulting)
• Pacemate (Honoraria/Speaking/Consulting Fee - Consulting)
• B-Secur (Honoraria/Speaking/Consulting Fee - Consulting)

To view all Heart Rhythm 2025 Faculty Disclosures, please click here.

Diagnostic Testing
   --   Monitoring and Other Noninvasive Diagnostic Testing
      --   13. Know how to select the appropriate monitoring strategy based on symptom type and frequency, including 12-lead electrocardiogram (ECG), Holter monitor, event monitor, mobile continuous outpatient telemetry, insertable cardiac monitor (ICM) or commercially available, personal wearable monitor.

General Concepts
   --   Communication Skills and Shared Decision Making
      --   11. Know how to use decision aid tools to facilitate a shared decision regarding primary prevention implantable cardioverter-defibrillator (ICD), left atrial appendage occlusion, participation in athletics and other clinical scenarios.