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Acute myocardial infarction revealed by recurrent ventricular tachyarrhythmias detected by remote monitoring
  1. Gianluigi Bencardino,
  2. Alessandro Telesca,
  3. Gianluca Comerci and
  4. Francesco Burzotta
  1. Cardiovascular and Thoracic Sciences, Catholic University of the Sacred Heart - Faculty of Medicine and Surgery, Rome, Italy
  1. Correspondence to Dr Gianluigi Bencardino; gianluigi.bencardino{at}


Remote monitoring (RM) of cardiac implantable electronic devices (CIED) represented a major improvement in clinical practice and has been used with multiple indications. Many parameters monitored on a daily basis by current CIED can indeed assist in clinical practice (eg, decompensated heart failure) by providing the patient with optimal timing for anticipated outpatient visit or urgent medical care. Recognition of acute myocardial infarction (AMI) is not usually considered among the capabilities of RM. We present the case of an AMI occurring without any ischaemic symptoms but associated with recurrent ventricular tachyarrhythmias effectively treated by multiple interventions of the implantable cardioverter defibrillator and promptly detected by RM personnel, who recommended the patient to quickly access to the emergency department where diagnosis and revascularization of an otherwise untreated myocardial infarction was performed.

  • Arrhythmias
  • Pacing and electrophysiology

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  • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: GB and AT. The following authors gave final approval of the manuscript: GB, AT, GC and FB.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.