An implantable apparatus for the detection and monitoring of spontaneous
cardiac electrogram features in a comprises a cardiac monitoring device
and a plurality of subcutaneous cardiac sensing electrodes electrically
connected to the monitoring device. The sensing electrodes are configured
for sensing cardiac electrogram features when implanted in spatially
separate locations in a patient. A storage device contained within the
monitoring device is operably associated with the subcutaneous electrodes
and stores the cardiac electrogram features. Preferably, the plurality of
subcutaneous electrodes are carried by a single elongate lead. A
downloading device such as telemetry apparatus or transcutaneous
electrical connectors may be provided so that the stored information can
be downloaded to a separate apparatus external to the patient. In a
preferred embodiment, the apparataus is a defibrillator. Methods of using
such apparatus are also disclosed.