State of the art of mobile health technologies use in clinical arrhythmia care
Arun Raghav Mahankali Sridhar, Jim W. Cheung, Rachel Lampert, Jennifer N. Avari Silva, Rakesh Gopinathannair, Juan C. Sotomonte, Khaldoun G. Tarakji, Mark Fellman, Jonathan Chrispin, Niraj Varma, Rajesh Kabra, Nishaki Mehta, Sana M. Al‐Khatib, Jacob J. Mayfield, Rachita Navara, Bharath Rajagopalan, Rod Passman, Yann Fleureau, Maully J. Shah, Mintu P. Turakhia, Dhanunjaya Lakkireddy
Abstract
The rapid growth in consumer-facing mobile and sensor technologies has created tremendous opportunities for patient-driven personalized health management. The diagnosis and management of cardiac arrhythmias are particularly well suited to benefit from these easily accessible consumer health technologies. In particular, smartphone-based and wrist-worn wearable electrocardiogram (ECG) and photoplethysmography (PPG) technology can facilitate relatively inexpensive, long-term rhythm monitoring. Here we review the practical utility of the currently available and emerging mobile health technologies relevant to cardiac arrhythmia care. We discuss the applications of these tools, which vary with respect to diagnostic performance, target populations, and indications. We also highlight that requirements for successful integration into clinical practice require adaptations to regulatory approval, data management, electronic medical record integration, quality oversight, and efforts to minimize the additional burden to health care professionals.