<?xml version="1.0" encoding="UTF-8"?>

<!--XBRL Document Created with the Workiva Platform-->
<!--Copyright 2026 Workiva-->
<!--r:019e4c9b-6c07-7cff-b00c-a1167dd68366,g:93feb0ac-44c0-4d17-b63a-8fa990af683b-->
<link:linkbase xmlns:link="http://www.xbrl.org/2003/linkbase" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.xbrl.org/2003/linkbase http://www.xbrl.org/2003/xbrl-linkbase-2003-12-31.xsd">
  <link:roleRef roleURI="http://www.irhythmtec.com/role/Cover" xlink:type="simple" xlink:href="irtc-20260527.xsd#Cover"/>
  <link:presentationLink xlink:role="http://www.irhythmtec.com/role/Cover" xlink:type="extended">
    <link:loc xlink:type="locator" xlink:label="loc_dei_CoverAbstract_019e4c9b-6c07-72ce-946b-4879dd8d3ff8" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_CoverAbstract"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_DocumentType_019e4c9b-6c07-774e-b7d8-0eea864ad628" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_DocumentType"/>
    <link:presentationArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e4c9b-6c07-72ce-946b-4879dd8d3ff8" xlink:to="loc_dei_DocumentType_019e4c9b-6c07-774e-b7d8-0eea864ad628" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_DocumentPeriodEndDate_019e4c9b-6c07-7f50-8e96-6d43a1fdab55" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_DocumentPeriodEndDate"/>
    <link:presentationArc order="2" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e4c9b-6c07-72ce-946b-4879dd8d3ff8" xlink:to="loc_dei_DocumentPeriodEndDate_019e4c9b-6c07-7f50-8e96-6d43a1fdab55" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityRegistrantName_019e4c9b-6c07-7865-b003-53b546b2ec52" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityRegistrantName"/>
    <link:presentationArc order="3" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e4c9b-6c07-72ce-946b-4879dd8d3ff8" xlink:to="loc_dei_EntityRegistrantName_019e4c9b-6c07-7865-b003-53b546b2ec52" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityIncorporationStateCountryCode_019e4c9b-6c07-7f2a-aa97-e8ef61ebd430" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityIncorporationStateCountryCode"/>
    <link:presentationArc order="4" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e4c9b-6c07-72ce-946b-4879dd8d3ff8" xlink:to="loc_dei_EntityIncorporationStateCountryCode_019e4c9b-6c07-7f2a-aa97-e8ef61ebd430" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityFileNumber_019e4c9b-6c07-75c2-84fb-3b241b1264fc" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityFileNumber"/>
    <link:presentationArc order="5" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e4c9b-6c07-72ce-946b-4879dd8d3ff8" xlink:to="loc_dei_EntityFileNumber_019e4c9b-6c07-75c2-84fb-3b241b1264fc" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityTaxIdentificationNumber_019e4c9b-6c07-73ab-9367-44f3088cd820" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityTaxIdentificationNumber"/>
    <link:presentationArc order="6" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e4c9b-6c07-72ce-946b-4879dd8d3ff8" xlink:to="loc_dei_EntityTaxIdentificationNumber_019e4c9b-6c07-73ab-9367-44f3088cd820" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressAddressLine1_019e4c9b-6c07-7b40-b9b5-80ededae8dca" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityAddressAddressLine1"/>
    <link:presentationArc order="7" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e4c9b-6c07-72ce-946b-4879dd8d3ff8" xlink:to="loc_dei_EntityAddressAddressLine1_019e4c9b-6c07-7b40-b9b5-80ededae8dca" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressAddressLine2_019e4c9b-6c07-7d57-9c6a-f18457bcf74b" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityAddressAddressLine2"/>
    <link:presentationArc order="8" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e4c9b-6c07-72ce-946b-4879dd8d3ff8" xlink:to="loc_dei_EntityAddressAddressLine2_019e4c9b-6c07-7d57-9c6a-f18457bcf74b" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressCityOrTown_019e4c9b-6c07-7587-ad93-f198d414ecdb" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityAddressCityOrTown"/>
    <link:presentationArc order="9" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e4c9b-6c07-72ce-946b-4879dd8d3ff8" xlink:to="loc_dei_EntityAddressCityOrTown_019e4c9b-6c07-7587-ad93-f198d414ecdb" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressStateOrProvince_019e4c9b-6c07-7600-802c-f3658aea7787" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityAddressStateOrProvince"/>
    <link:presentationArc order="10" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e4c9b-6c07-72ce-946b-4879dd8d3ff8" xlink:to="loc_dei_EntityAddressStateOrProvince_019e4c9b-6c07-7600-802c-f3658aea7787" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressPostalZipCode_019e4c9b-6c07-7c0c-a055-c5baafd9b434" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityAddressPostalZipCode"/>
    <link:presentationArc order="11" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e4c9b-6c07-72ce-946b-4879dd8d3ff8" xlink:to="loc_dei_EntityAddressPostalZipCode_019e4c9b-6c07-7c0c-a055-c5baafd9b434" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_CityAreaCode_019e4c9b-6c07-7b7e-bd2c-a898db33ceb4" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_CityAreaCode"/>
    <link:presentationArc order="12" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e4c9b-6c07-72ce-946b-4879dd8d3ff8" xlink:to="loc_dei_CityAreaCode_019e4c9b-6c07-7b7e-bd2c-a898db33ceb4" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_LocalPhoneNumber_019e4c9b-6c07-73b9-b47a-688d5c42e48c" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_LocalPhoneNumber"/>
    <link:presentationArc order="13" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e4c9b-6c07-72ce-946b-4879dd8d3ff8" xlink:to="loc_dei_LocalPhoneNumber_019e4c9b-6c07-73b9-b47a-688d5c42e48c" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_WrittenCommunications_019e4c9b-6c07-742b-b57b-88e1965fa95d" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_WrittenCommunications"/>
    <link:presentationArc order="14" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e4c9b-6c07-72ce-946b-4879dd8d3ff8" xlink:to="loc_dei_WrittenCommunications_019e4c9b-6c07-742b-b57b-88e1965fa95d" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_SolicitingMaterial_019e4c9b-6c07-71b5-8f30-666892750535" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_SolicitingMaterial"/>
    <link:presentationArc order="15" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e4c9b-6c07-72ce-946b-4879dd8d3ff8" xlink:to="loc_dei_SolicitingMaterial_019e4c9b-6c07-71b5-8f30-666892750535" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_PreCommencementTenderOffer_019e4c9b-6c07-7f71-9641-e8133accea53" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_PreCommencementTenderOffer"/>
    <link:presentationArc order="16" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e4c9b-6c07-72ce-946b-4879dd8d3ff8" xlink:to="loc_dei_PreCommencementTenderOffer_019e4c9b-6c07-7f71-9641-e8133accea53" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_PreCommencementIssuerTenderOffer_019e4c9b-6c07-7e03-8bf1-56bef574fafb" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_PreCommencementIssuerTenderOffer"/>
    <link:presentationArc order="17" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e4c9b-6c07-72ce-946b-4879dd8d3ff8" xlink:to="loc_dei_PreCommencementIssuerTenderOffer_019e4c9b-6c07-7e03-8bf1-56bef574fafb" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_Security12bTitle_019e4c9b-6c07-7bef-90d8-27fdd8ec7a9d" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_Security12bTitle"/>
    <link:presentationArc order="18" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e4c9b-6c07-72ce-946b-4879dd8d3ff8" xlink:to="loc_dei_Security12bTitle_019e4c9b-6c07-7bef-90d8-27fdd8ec7a9d" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_TradingSymbol_019e4c9b-6c07-78fd-89bb-9f92a9313a76" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_TradingSymbol"/>
    <link:presentationArc order="19" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e4c9b-6c07-72ce-946b-4879dd8d3ff8" xlink:to="loc_dei_TradingSymbol_019e4c9b-6c07-78fd-89bb-9f92a9313a76" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_SecurityExchangeName_019e4c9b-6c07-7675-be90-6e735dff05fd" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_SecurityExchangeName"/>
    <link:presentationArc order="20" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e4c9b-6c07-72ce-946b-4879dd8d3ff8" xlink:to="loc_dei_SecurityExchangeName_019e4c9b-6c07-7675-be90-6e735dff05fd" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityEmergingGrowthCompany_019e4c9b-6c07-752c-b20c-8ed8e9aab50c" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityEmergingGrowthCompany"/>
    <link:presentationArc order="21" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e4c9b-6c07-72ce-946b-4879dd8d3ff8" xlink:to="loc_dei_EntityEmergingGrowthCompany_019e4c9b-6c07-752c-b20c-8ed8e9aab50c" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityCentralIndexKey_019e4c9b-6c07-7109-99e0-901e07a53418" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityCentralIndexKey"/>
    <link:presentationArc order="22" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e4c9b-6c07-72ce-946b-4879dd8d3ff8" xlink:to="loc_dei_EntityCentralIndexKey_019e4c9b-6c07-7109-99e0-901e07a53418" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_AmendmentFlag_019e4c9b-6c07-7ac6-b383-974597a92489" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_AmendmentFlag"/>
    <link:presentationArc order="23" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e4c9b-6c07-72ce-946b-4879dd8d3ff8" xlink:to="loc_dei_AmendmentFlag_019e4c9b-6c07-7ac6-b383-974597a92489" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
  </link:presentationLink>
</link:linkbase>
