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      Trends beyond the new normal: from remote monitoring to digital connectivity

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          Abstract

          COVID pandemic emergency has forced changes from traditional in-person visits to application of telemedicine in order to overcome the barriers and to deliver care. COVID-19 has accelerated adoption of digital health. During this time, the distance is itself a prevention tool and the use of technology to deliver healthcare services and information has driven the discovery of mobile and connected health services. Health services should to be prepared to integrate the old model of remote monitoring of CIEDs and adopt new digital tools such as mobile Apps and connected sensors.

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          Most cited references16

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          HRS Expert Consensus Statement on remote interrogation and monitoring for cardiovascular implantable electronic devices.

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            Guidance for Cardiac Electrophysiology During the Coronavirus (COVID-19) Pandemic from the Heart Rhythm Society COVID-19 Task Force; Electrophysiology Section of the American College of Cardiology; and the Electrocardiography and Arrhythmias Committee of the Council on Clinical Cardiology, American Heart Association

            Covid-19 is a global pandemic that is wreaking havoc with the health and economy of much of human civilization. Electrophysiologists have been impacted personally and professionally by this global catastrophe. In this joint document from representatives of the HRS, ACC and AHA we identify the potential risks of exposure to patients, allied health care staff, industry representatives and hospital administrators. We describe the impact of COVID-19 on cardiac arrhythmias and methods of triage based on acuity and patient comorbidities. We provide guidance for managing invasive and non-invasive electrophysiology procedures, clinic visits and cardiac device interrogations. We discuss resource conservation and the role of tele-medicine in remote patient care along with management strategies for affected patients.
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              Comparison of QT Interval Readings in Normal Sinus Rhythm Between a Smartphone Heart Monitor and a 12-Lead ECG for Healthy Volunteers and Inpatients Receiving Sotalol or Dofetilide.

              A variety of medications ranging from antiarrhythmics to psychotropics, as well as conditions such as bradycardia, can prolong the QT interval, increasing the risk for life-threatening arrhythmias. Monitoring the corrected QT interval (QTc) is therefore critical for patient safety. The recent development of smart phone heart monitors (SHM) may allow for easier QTc monitoring. We sought to evaluate the accuracy of an SHM for assessing the QTc, as compared to the standard 12-lead ECG.
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                Author and article information

                Journal
                Eur Heart J Suppl
                Eur Heart J Suppl
                ehjsupp
                European Heart Journal Supplements : Journal of the European Society of Cardiology
                Oxford University Press
                1520-765X
                1554-2815
                December 2020
                23 December 2020
                23 December 2020
                : 22
                : Suppl Pt , Cardiovascular Care - Moving forward after COVID-19
                : P8-P12
                Affiliations
                [1 ] Division of Cardiology, Policlinico Casilino , Via Casilina 1049, 00169 Rome, Italy
                [2 ] Clinical Department of Cardiology, University of Graz , Graz, Austria
                Author notes
                Corresponding author. Tel: +39 06 23188406, Fax +39 06 23188410, Email: leonardocalo.doc@ 123456gmail.com
                Article
                suaa170
                10.1093/eurheartj/suaa170
                7757717
                33390863
                fcc5f11a-b49b-41d4-8de6-c56ab2e3d0c4
                Published on behalf of the European Society of Cardiology. © The Author(s) 2020.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com

                History
                Page count
                Pages: 5
                Funding
                Funded by: Abbott, DOI 10.13039/100000046;
                Categories
                Articles
                AcademicSubjects/MED00200

                telemedicine,covid-19,remote monitoring,digital medicine

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