Digital Health and the Care of the Patient With Arrhythmia

Author:

Tarakji Khaldoun G.12ORCID,Silva Jennifer3ORCID,Chen Lin Y.4ORCID,Turakhia Mintu P.5ORCID,Perez MarcoORCID,Attia Zachi I.6ORCID,Passman Rod7ORCID,Boissy Adrienne8,Cho David J.9ORCID,Majmudar Maulik10,Mehta Neil2ORCID,Wan Elaine Y.11ORCID,Chung Mina1122ORCID

Affiliation:

1. Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute (K.G.T., M.C.), Cleveland Clinic, OH.

2. Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, OH (K.G.T., N.M., M.C.).

3. Division of Pediatric Cardiology, Department of Pediatrics, Washington University in St Louis, MO (J.S.).

4. Cardiovascular Division, Department of Medicine, University of Minnesota Medical School, Minneapolis (L.Y.C.).

5. Ctr for Digital Health, Stanford University, Stanford and Veterans Affairs Palo Alto Health Care System, CA (M.P.T., M.P.).

6. Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN (Z.I.A.).

7. Center for Arrhythmia Research, Northwestern University Feinberg School of Medicine, Chicago, IL (R.P.).

8. Office of Patient Experience and Neurological Institute (A.B.), Cleveland Clinic, OH.

9. Division of Cardiovascular Medicine, UCLA David Geffen School of Medicine, Los Angeles, CA (D.J.C.).

10. Amazon, Inc, Seattle, WA (M.M.).

11. Division of Cardiology, Department of Medicine, Vagelos College of Physicians and Surgeons, Columbia University, New York (E.Y.W.).

12. Department of Cardiovascular and Metabolic Sciences, Lerner Research Institute (M.C.), Cleveland Clinic, OH.

Abstract

The field of cardiac electrophysiology has been on the cutting edge of advanced digital technologies for many years. More recently, medical device development through traditional clinical trials has been supplemented by direct to consumer products with advancement of wearables and health care apps. The rapid growth of innovation along with the mega-data generated has created challenges and opportunities. This review summarizes the regulatory landscape, applications to clinical practice, opportunities for virtual clinical trials, the use of artificial intelligence to streamline and interpret data, and integration into the electronic medical records and medical practice. Preparation of the new generation of physicians, guidance and promotion by professional societies, and advancement of research in the interpretation and application of big data and the impact of digital technologies on health outcomes will help to advance the adoption and the future of digital health care.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine

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