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Consumer-tech-provider co-doctoring in the digital age: A neglected TRIAD

  • Lilas Dagher
    Affiliations
    Tulane Research Innovation for Arrhythmia Discoveries (TRIAD), Heart and Vascular Institute, Tulane University School of Medicine, New Orleans, Louisiana
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  • Nassir F. Marrouche
    Correspondence
    Address reprint requests and correspondence: Dr Nassir F. Marrouche, Tulane Research Innovation for Arrhythmia Discoveries (TRIAD), Heart and Vascular Institute, Tulane University School of Medicine, 1430 Tulane Avenue, Box 8548, New Orleans, LA 70112.
    Affiliations
    Tulane Research Innovation for Arrhythmia Discoveries (TRIAD), Heart and Vascular Institute, Tulane University School of Medicine, New Orleans, Louisiana
    Search for articles by this author
Published:February 01, 2021DOI:https://doi.org/10.1016/j.hrthm.2020.10.007
      The digital revolution is changing medicine as we know it. The wide adoption of wearables and fitness devices among consumers drives an inevitable implementation of such technologies in clinical practice. From the first 12-lead electrocardiogram (ECG) in the 1890s to the current commercialization of ECG watches available to almost everyone, electrophysiologists are at the frontlines having not only to adapt to this rapidly evolving field but also to lead in the transition. In a recent issue of the Cardiovascular Digital Health Journal, Varma et al present a comprehensive review of digital health in electrophysiology.
      • Varma N.
      • Cygankiewicz I.
      • Turakhia M.P.
      • et al.
      2021 ISHNE/HRS/EHRA/APHRS collaborative statement on mHealth in Arrhythmia Management: Digital Medical Tools for Heart Rhythm Professionals.
      After laying out relevant technologies for arrhythmia management, the authors focus on available data for digital health application in daily clinical practice, starting with a detailed discussion about screening and diagnostic strategies for atrial fibrillation, followed by an evaluation of the use of digital tools for comorbidities management. As an integral part of the digital health transformation, patients’ engagement and challenges facing implementation were discussed. The authors conclude by pointing out knowledge gaps and requirements needed to overcome hurdles in mobile health (mHealth) standardization.
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      References

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