![]() ![]() However, there are several general parameters that shape these decisions. Each type of monitoring device has its own advantages and disadvantages, which is why it is so important to pick the device that best suits the clinical scenario.ĭecisions on which monitor to use are typically made on a case-by-case basis. Lakkireddy: Today, there are three main types of monitors on the market – external monitoring devices, implantable long-term monitors and patient-driven consumer wearable monitors. Wadhwa: With the availability of connected devices that can monitor patients for extended wear times, how do you determine which monitoring device to use, and the duration based on the clinical scenario?ĭr. The new monitors also greatly increased patient quality of life because their smaller size was much more portable and less invasive, and increased Bluetooth capabilities meant they could move freely without being connected to a wire.ĭr. This led to a rapid succession and evolution of these technologies alongside the miniaturization and increasing memory of the microchip, making physicians’ ability to record data significantly more efficient. In the past 15 years, we have seen a revolution in this space thanks to all the technological innovations in wireless and Bluetooth monitoring. ![]() This paved the way for the next big leap in dynamic ambulatory monitoring through the live transmission of data via mobile cardiac telemetry, making it easier for us to seek immediate help for patients who were experiencing an adverse cardiac event. As healthcare’s digital transformation continues to take shape, access to patient data and dynamic monitoring has become increasingly more important – highlighting the limitations of Holter monitors’ microchip capacity and speed of data transmission. The invention of the Holter monitor was a breakthrough in cardiology, giving physicians a more dynamic way to record arrhythmias. Over time, remote monitoring devices have evolved to provide physicians with more insight into how the heart is behaving, which is critical in informing timely interventions and confident diagnoses to support better patient outcomes. For example, many patients, particularly young women, were mislabeled as having “spells,” anxiety, or neurosis when they were actually experiencing Supraventricular Tachycardia (SVT). As a result, it was harder for physicians to make accurate diagnoses. Lakkireddy: Three to four decades ago, when patients told their physicians they were having palpitations, there wasn’t a great way to capture cardiac arrhythmias in real-time, short of connecting the patient to an ECG machine in the hospital. How has the evolution of technology and new devices impacted the diagnostic and patient experience?ĭr. Wadhwa: There have been several advancements in ambulatory monitoring technology over the past 20 years. The two practicing Cardiac Electrophysiologists discuss how the value of remote monitoring technology lies in its ability to provide clinically significant, actionable insight.ĭr. To provide an understanding of how ambulatory monitoring is changing cardiac patient care, Manish Wadhwa, MD, FHRS, Head of Medical Office, Ambulatory Monitoring and Diagnostics at Philips sat down with Dhanunjaya Lakkireddy, MD, FHRS, Executive Medical Director of the Kansas City Heart Rhythm Institute at HCA Midwest Health. The ability to provide comprehensive, actionable insights into a cardiac patient’s heart health from their home via remote monitoring devices has proven to be a valuable tool for cardiologists as they seek ways to enhance cardiac care pathways. With the growing prevalence of cardiovascular disease, cardiologists are balancing the need to deliver high-quality care for a growing number of patients with complex conditions while managing pressures to improve efficiency within their department or practice. ![]()
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