HRS White Paper on Clinical Utilization of Digital Health Technology

Elaine Y Wan; Hamid Ghanbari; Nazem Akoum; Zachi Itzhak Attia; Samuel J Asirvatham; Eugene H Chung; Lilas Dagher; Sana M Al-Khatib; G Stuart Mendenhall; David D McManus; Rajeev K Pathak; Rod S Passman; Nicholas S Peters; David S Schwartzman; Emma Svennberg; Khaldoun G Tarakji; Mintu P Turakhia; Anthony Trela; Hirad Yarmohammadi; Nassir F Marrouche

doi:10.1016/j.cvdhj.2021.07.001

HRS White Paper on Clinical Utilization of Digital Health Technology

Cardiovasc Digit Health J. 2021 Jul 10;2(4):196-211. doi: 10.1016/j.cvdhj.2021.07.001. eCollection 2021 Aug.

Authors

Elaine Y Wan¹, Hamid Ghanbari², Nazem Akoum³, Zachi Itzhak Attia⁴, Samuel J Asirvatham⁴, Eugene H Chung², Lilas Dagher⁵, Sana M Al-Khatib⁶, G Stuart Mendenhall⁷, David D McManus⁸, Rajeev K Pathak⁹, Rod S Passman¹⁰, Nicholas S Peters¹¹, David S Schwartzman¹², Emma Svennberg¹³, Khaldoun G Tarakji¹⁴, Mintu P Turakhia¹⁵, Anthony Trela¹⁶, Hirad Yarmohammadi¹, Nassir F Marrouche⁵

Affiliations

¹ Division of Cardiology, Department of Medicine, Vagelos College of Physicians and Surgeons, New York-Presbyterian/Columbia University Irving Medical Center, New York, NY, USA.
² University of Michigan, Ann Arbor, MI, USA.
³ University of Washington, Seattle, WA, USA.
⁴ Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.
⁵ Tulane Research Innovation for Arrhythmia Discoveries (TRIAD), Heart and Vascular Institute, Tulane University School of Medicine, New Orleans, LA, USA.
⁶ Duke Clinical Research Institute, Durham, NC, USA.
⁷ Scripps Memorial Hospital-La Jolla, La Jolla, CA, USA.
⁸ University of Massachusetts Medical School, Worchester, MA, USA.
⁹ Cardiac Electrophysiology Unit, Department of Cardiology, Canberra Hospital and Health Services, Australian National University, Canberra, Australia.
¹⁰ Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
¹¹ Imperial College London, and NHS Trust, London, United Kingdom.
¹² Butler Health System, Cardiac Electrophysiology, Pittsburgh, PA, USA.
¹³ Karolinska Institutet, Department of Medicine Huddinge, Karolinska University Hospital, Stockholm, Sweden.
¹⁴ Department of Cardiovascular Medicine, Cleveland Clinic Foundation, Cleveland, OH, USA.
¹⁵ Department of Medicine, Stanford University, Stanford, California; Veterans Affairs Palo Alto Health Care System, Palo Alto, California, and Center for Digital Health, Stanford, CA, USA.
¹⁶ Lucile Packard Children's Hospital, Pediatric Cardiology, Palo Alto, CA, USA.

Abstract

This collaborative statement from the Digital Health Committee of the Heart Rhythm Society provides everyday clinical scenarios in which wearables may be utilized by patients for cardiovascular health and arrhythmia management. We describe herein the spectrum of wearables that are commercially available for patients, and their benefits, shortcomings and areas for technological improvement. Although wearables for rhythm diagnosis and management have not been examined in large randomized clinical trials, undoubtedly the usage of wearables has quickly escalated in clinical practice. This document is the first of a planned series in which we will update information on wearables as they are revised and released to consumers.

Keywords: Arrhythmia; Digital health; Remote monitoring; Wearables.

Grants and funding

K23 HL135397/HL/NHLBI NIH HHS/United States