2021 ISHNE / HRS / EHRA / APHRS Collaborative Statement on mHealth in Arrhythmia Management: Digital Medical Tools for Heart Rhythm Professionals: From the International Society for Holter and Noninvasive Electrocardiology / Heart Rhythm Society / European Heart Rhythm Association / Asia Pacific Heart Rhythm Society

Niraj Varma; Iwona Cygankiewicz; Mintu Turakhia; Hein Heidbuchel; Yufeng Hu; Lin Yee Chen; Jean-Philippe Couderc; Edmond M Cronin; Jerry D Estep; Lars Grieten; Deirdre A Lane; Reena Mehra; Alex Page; Rod Passman; Jonathan Piccini; Ewa Piotrowicz; Ryszard Piotrowicz; Pyotr G Platonov; Antonio Luiz Ribeiro; Robert E Rich; Andrea M Russo; David Slotwiner; Jonathan S Steinberg; Emma Svennberg

doi:10.1093/ehjdh/ztab001

2021 ISHNE / HRS / EHRA / APHRS Collaborative Statement on mHealth in Arrhythmia Management: Digital Medical Tools for Heart Rhythm Professionals: From the International Society for Holter and Noninvasive Electrocardiology / Heart Rhythm Society / European Heart Rhythm Association / Asia Pacific Heart Rhythm Society

Eur Heart J Digit Health. 2021 Jan 29;2(1):7-48. doi: 10.1093/ehjdh/ztab001. eCollection 2021 Mar.

Authors

Niraj Varma¹, Iwona Cygankiewicz², Mintu Turakhia³, Hein Heidbuchel⁴, Yufeng Hu⁵, Lin Yee Chen⁶, Jean-Philippe Couderc⁷, Edmond M Cronin⁸, Jerry D Estep¹, Lars Grieten⁹, Deirdre A Lane¹⁰, Reena Mehra¹, Alex Page⁷, Rod Passman¹¹, Jonathan Piccini¹², Ewa Piotrowicz¹³, Ryszard Piotrowicz¹³, Pyotr G Platonov¹⁴, Antonio Luiz Ribeiro¹⁵, Robert E Rich¹, Andrea M Russo¹⁶, David Slotwiner¹⁷, Jonathan S Steinberg⁷, Emma Svennberg¹⁸

Affiliations

¹ Cleveland Clinic, Cleveland, OH, USA.
² Medical University of Lodz, Lodz, Poland.
³ Stanford University, Palo Alto, CA, USA.
⁴ Antwerp University and University Hospital, Antwerp, Belgium.
⁵ Taipei Veterans General Hospital, Taipei, Taiwan.
⁶ University of Minnesota, Minneapolis, MN, USA.
⁷ University of Rochester, Rochester, NY, USA.
⁸ Temple University, Philadelphia, PA, USA.
⁹ Hasselt University, Hasselt, Belgium.
¹⁰ University of Liverpool, Liverpool, UK.
¹¹ Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
¹² Duke University, Durham, NC, USA.
¹³ National Institute of Cardiology, Warsaw, Poland.
¹⁴ Lund University, Lund, Sweden.
¹⁵ Faculdade de Medicina, Centro de Telessaúde, Hospital das Clínicas, and Departamento de Clínica Médica, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
¹⁶ Cooper Medical School of Rowan University, Camden, NJ, USA.
¹⁷ Cardiology Division, NewYork-Presbyterian Queens, and School of Health, Policy and Research, Weill Cornell Medicine, New York, NY, USA.
¹⁸ Karolinska University Hospital, Stockholm, Sweden.

Abstract

This collaborative statement from the International Society for Holter and Noninvasive Electrocardiology / Heart Rhythm Society / European Heart Rhythm Association / Asia Pacific Heart Rhythm Society describes the current status of mobile health ("mHealth") technologies in arrhythmia management. The range of digital medical tools and heart rhythm disorders that they may be applied to and clinical decisions that may be enabled are discussed. The facilitation of comorbidity and lifestyle management (increasingly recognized to play a role in heart rhythm disorders) and patient self-management are novel aspects of mHealth. The promises of predictive analytics but also operational challenges in embedding mHealth into routine clinical care are explored.

Keywords: arrhythmias; atrial fibrillation; comorbidities; digital medicine; heart rhythm; mHealth.