Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute (K.G.T., M.C.), Cleveland Clinic, OH.
Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, OH (K.G.T., N.M., M.C.).
Circ Arrhythm Electrophysiol. 2020 Nov;13(11):e007953. doi: 10.1161/CIRCEP.120.007953. Epub 2020 Oct 6.
The field of cardiac electrophysiology has been on the cutting edge of advanced digital technologies for many years. More recently, medical device development through traditional clinical trials has been supplemented by direct to consumer products with advancement of wearables and health care apps. The rapid growth of innovation along with the mega-data generated has created challenges and opportunities. This review summarizes the regulatory landscape, applications to clinical practice, opportunities for virtual clinical trials, the use of artificial intelligence to streamline and interpret data, and integration into the electronic medical records and medical practice. Preparation of the new generation of physicians, guidance and promotion by professional societies, and advancement of research in the interpretation and application of big data and the impact of digital technologies on health outcomes will help to advance the adoption and the future of digital health care.
多年来,心脏电生理学领域一直处于先进数字技术的前沿。最近,通过传统临床试验的医疗器械开发已经通过可穿戴设备和健康护理应用程序的进步得到了补充。创新的快速增长以及产生的大量数据带来了挑战和机遇。这篇综述总结了监管环境、在临床实践中的应用、虚拟临床试验的机会、人工智能在简化和解释数据方面的应用,以及与电子病历和医疗实践的整合。新一代医生的准备、专业协会的指导和推广,以及对大数据的解释和应用的研究的推进,以及数字技术对健康结果的影响,将有助于推动数字医疗的采用和未来发展。