Current and Future State of Arrhythmia Management Registries: Defining Endpoints and Leveraging Large Data-Current and Future State of Arrhythmia Management Registries: Defining Endpoints and Leveraging Large Data

Video Transcription

Video Summary

The video presentation discussed arrhythmia management registries, focusing on challenges and innovations in outcome measures. The first speaker, Dr. Bunch, highlighted various types of outcome measures like patient-reported outcomes and digital measures using wearable devices. He discussed the Heartline trial, which uses smartwatches for health optimization in atrial fibrillation detection, linking it to objective outcomes in healthcare utilization. Dr. Bunch pointed out the need for long-term data to understand safety events and emphasized patient-centered care by considering patients' perspectives in treatment success metrics.<br /><br />Dr. Mansour covered the objectives and limitations of arrhythmia registries, focusing on participation, ease of data collection, and the impact on quality of care. He described the NCDR program's registries, particularly for left atrial appendage occlusion and AFib, emphasizing the challenges of manual data entry and access issues. Participation in these registries is vital for improving care quality despite data entry challenges.<br /><br />Dr. Frankel discussed the need for standardizing outcome measures in arrhythmia research, particularly for meaningful endpoints beyond traditional survival rates. He highlighted ongoing efforts by the Heart Rhythm Society (HRS) to define relevant endpoints for trials, ensuring regulatory and practical relevance.<br /><br />Dr. Reddy addressed leveraging advanced technologies, like AI and big data analytics, to strengthen clinical registries. He proposed a vision for the HRS to develop a flexible, AI-powered registry for pulse-field ablation, emphasizing democratized access and adaptability. This approach would enhance data collection and interpretation, aiding in both clinical practice and research innovation.<br /><br />The session highlighted the significance of patient-centric outcomes and integrating new technologies to refine arrhythmia management research, fostering collaboration for improved healthcare delivery.

Keywords

arrhythmia management

outcome measures

patient-reported outcomes

Heartline trial

atrial fibrillation

arrhythmia registries

NCDR program

Heart Rhythm Society

AI and big data

pulse-field ablation