Ambulatory Cardiac Monitors Unplugged: Choosing the Right Device-Ambulatory Cardiac Monitors Unplugged: Choosing the Right Device

Video Transcription

Video Summary

The session focused on ambulatory cardiac monitoring, detailing advancements, considerations, and outcomes associated with different monitoring strategies. Andrew Crum and Sanjeev Narayan introduced the session, highlighting this fast-evolving field. Elaine Wan provided an overview of ambulatory monitors, emphasizing the growing use of wearables like the Apple Watch and their various capabilities, such as ECG, blood pressure, and pulse oximetry monitoring. She discussed the diagnostic benefits of long-term continuous monitoring, particularly for conditions like atrial fibrillation, and the challenges of compliance, limited wear time, and accuracy.<br /><br />Jonathan Chu elaborated on the significance of data reliability, accuracy, and duration in monitoring technologies. He clarified different types of monitoring, from Holters to implantable loop recorders, and emphasized long-term monitoring, especially in detecting asymptomatic events like atrial fibrillation.<br /><br />Sunit Mittal discussed the Camelot Study, emphasizing that not all monitoring strategies are equal, with variations in diagnostic yields and healthcare utilization. He highlighted the need to focus on clinical outcomes and healthcare costs, rather than just monitoring duration.<br /><br />The panel addressed practical applications, including how monitoring impacts clinical decision-making, and discussed the potential of integrating AI and matching monitoring strategies to patient needs, acknowledging the role of wearables and the evolving landscape of digital health.

Keywords

ambulatory cardiac monitoring

wearables

ECG

atrial fibrillation

data reliability

Holters

Camelot Study

AI integration

digital health