The digital journey: 25 years of digital development in electrophysiology from an Europace perspective

Author:

Svennberg Emma1ORCID,Caiani Enrico G23ORCID,Bruining Nico4ORCID,Desteghe Lien5678ORCID,Han Janet K910ORCID,Narayan Sanjiv M11ORCID,Rademakers Frank E12ORCID,Sanders Prashanthan13ORCID,Duncker David14ORCID

Affiliation:

1. Department of Medicine Huddinge, Karolinska Institutet, Karolinska University Hospital Huddinge , SE-141 86 Stockholm , Sweden

2. Politecnico di Milano, Electronic, Information and Biomedical Engineering Department , Milan , Italy

3. Istituto Auxologico Italiano IRCCS , Milan , Italy

4. Department of Clinical and Experimental Information processing (Digital Cardiology), Erasmus Medical Center, Thoraxcenter , Rotterdam , The Netherlands

5. Research Group Cardiovascular Diseases, University of Antwerp , 2000 Antwerp , Belgium

6. Department of Cardiology, Antwerp University Hospital , 2056 Edegem , Belgium

7. Faculty of Medicine and Life Sciences, Hasselt University , 3500 Hasselt , Belgium

8. Department of Cardiology, Heart Centre Hasselt , Jessa Hospital, 3500 Hasselt , Belgium

9. Division of Cardiology, Veterans Affairs Greater Los Angeles Healthcare System , Los Angeles, CA 90073 , USA

10. Cardiac Arrhythmia Center, University of California Los Angeles , Los Angeles, CA , USA

11. Cardiology Division, Cardiovascular Institute and Institute for Computational and Mathematical Engineering, Stanford University , Stanford, CA , USA

12. Department of Cardiology, KU Leuven , 3000 Leuven , Belgium

13. Centre for Heart Rhythm Disorders, University of Adelaide and Royal Adelaide Hospital , 5005 Adelaide , Australia

14. Hannover Heart Rhythm Center, Department of Cardiology and Angiology, Hannover Medical School , Hannover , Germany

Abstract

Abstract Aims Over the past 25 years there has been a substantial development in the field of digital electrophysiology (EP) and in parallel a substantial increase in publications on digital cardiology. In this celebratory paper, we provide an overview of the digital field by highlighting publications from the field focusing on the EP Europace journal. Results In this journey across the past quarter of a century we follow the development of digital tools commonly used in the clinic spanning from the initiation of digital clinics through the early days of telemonitoring, to wearables, mobile applications, and the use of fully virtual clinics. We then provide a chronicle of the field of artificial intelligence, a regulatory perspective, and at the end of our journey provide a future outlook for digital EP. Conclusion Over the past 25 years Europace has published a substantial number of papers on digital EP, with a marked expansion in digital publications in recent years.

Funder

Swedish Heart and Lung foundation

CIMED

Swedish Research Council

National Health and Medical Research Council

Publisher

Oxford University Press (OUP)

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine

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