Rethinking Rhythm Care: Technology-Driven Trends in ECG Monitoring Reshaping EP Practice Powered by iRhythm-Rethinking Rhythm Care: Technology-Driven Trends in ECG Monitoring Reshaping EP Practice Powered by iRhythm

Rethinking Rhythm Care: Technology-Driven Trends in ECG Monitoring Reshaping EP Practice Powered by iRhythm

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Video Summary

This expert panel discusses advances and challenges in ambulatory cardiac monitoring, focusing on device selection, AI integration, and clinical application. Historically, short-term Holter monitors were common, but newer long-term continuous monitors (LTCM) show higher diagnostic yield, reduced need for repeat testing, and lowering of emergency visits. Studies (Camelot and Avalon) highlight LTCM's superior performance across Medicare and privately insured populations, emphasizing technology quality, wearability, and data presentation as critical factors beyond just monitoring duration.<br /><br />Physicians note that patient compliance, comfort, and reimbursement issues influence monitor choice, alongside the clinical context like atrial fibrillation or PVC burden. AI’s role is expanding in analysis and cardiovascular screening, identifying structural heart disease and risk better than traditional methods, but challenges remain due to data variability, model limitations, and the necessity for clear interpretative reporting for non-specialists.<br /><br />Wearables like smartwatches are useful but often require confirmatory medical-grade monitoring. Integration with electronic medical records and workflow improvements are essential to manage large data volumes, prioritize actionable alerts, and avoid overwhelming clinicians with benign findings. Ultimately, balancing technology capabilities, patient usability, clinical goals, and health system workflows is vital to improve arrhythmia diagnosis, treatment, and outcomes in diverse patient populations, including pregnant women and those with complex cardiovascular risks.

Keywords

ambulatory cardiac monitoring

long-term continuous monitors

AI integration in cardiology

patient compliance and comfort

wearable cardiac devices

electronic medical records integration

arrhythmia diagnosis and treatment

clinical workflow optimization