Experts discuss the unmet clinical and economic needs in arrhythmia evaluation—particularly in patients with comorbidities—highlighting how early detection and predictive solutions can improve care and reduce costs, while integrated workflows support better outcomes and align with broader population health goals.
EP. 1: Clinical Presentation of Arrhythmias
Experts discuss the growing role of early detection and predictive strategies in managing arrhythmias—particularly atrial fibrillation—highlighting the impact of wearable technology, challenges in diagnosis due to intermittent symptoms, and the shift toward more personalized, value-based care driven by timely evaluation and evidence-based interventions.
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EP. 2: Long-Term Consequences of Arrhythmias
Experts discuss the complex clinical and economic challenges of atrial fibrillation, emphasizing the need for personalized care that balances symptom management, stroke prevention, and risk factor control—while recent evidence on subclinical atrial fibrillation highlights the limitations of widespread anticoagulation, reinforcing the importance of targeted, value-based strategies for optimal outcomes.
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EP. 3: Common Comorbidities and Underdiagnosis Associated With Atrial Fibrillation
Experts discuss the multifaceted management of atrial fibrillation, stressing the importance of addressing comorbid conditions alongside the arrhythmia itself, while highlighting the challenges of underdiagnosis, the rise of subclinical cases detected through wearable technology, and the need to align emerging diagnostic tools with evidence-based care to avoid unnecessary interventions and optimize outcomes.
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EP. 4: Unmet Needs in the Management of Atrial Fibrillation
Experts discuss the persistent clinical and systemic challenges in diagnosing and treating atrial fibrillation, emphasizing the need for earlier identification—especially in high-risk, comorbid populations—while highlighting the limitations of current risk models, the complexity of managing atrial fibrillation burden, and the importance of integrating wearable data into precision-based care without overburdening clinicians or compromising clinical relevance.
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EP. 5: Optimizing the Management of Atrial Fibrillation Through Team-Based Care
Experts discuss how rising arrhythmia burdens and workforce challenges are driving a shift toward team-based care, smarter diagnostics, and artificial intelligence–driven risk stratification to improve outcomes and efficiency.
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EP. 6: Best Practices for Diagnosing Arrhythmia
Experts discuss how arrhythmia evaluation is tailored based on symptom frequency, severity, and patient risk, using a stepwise approach from short-term to extended monitoring to guide timely and effective diagnosis and management.
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EP. 7: Prescribed Ambulatory Cardiac Rhythm Monitors
Experts discuss how choosing the right cardiac rhythm monitor involves balancing symptom frequency, patient risk, and device capabilities to ensure efficient, cost-effective, and patient-centered diagnosis while avoiding unnecessary testing.
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EP. 8: Electronic Health Records and Consumer Wearables
Experts highlight that well-integrated electronic health records and wearable devices can enhance diagnostic accuracy and patient engagement in arrhythmia care, while emphasizing the importance of combining technology with comprehensive clinical evaluation to guide efficient, personalized testing.
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EP. 9: Remote Patient Monitoring and Artificial Intelligence
Experts emphasize that remote patient monitoring (RPM) is most effective when supported by structured care teams and workflows, with artificial intelligence–enabled tools helping to interpret data and guide timely interventions—making RPM a vital component of personalized, proactive arrhythmia management.
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EP. 10: The Potential Role of Screening for Atrial Fibrillation
Experts highlight that while universal screening for subclinical atrial fibrillation remains unsupported by current evidence, targeted screening of high-risk populations using data-driven approaches, combined with proactive management of cardiometabolic risk factors, offers a promising path to improve outcomes and optimize resource use.
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EP. 11: The Utility of Implantable Cardiac Rhythm Monitors
Experts note that implantable loop recorders are valuable for detecting infrequent arrhythmias and guiding anticoagulation decisions post-cryptogenic stroke or atrial fibrillation ablation, but due to high costs and limited cost-effectiveness, their use should follow initial short-term monitoring and be tailored to individual patient risk, with ongoing research needed to optimize clinical and economic outcomes.
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EP. 12: Designing Value-Based Care Programs Around Arrhythmias
Experts highlight that applying value-based payment models to atrial fibrillation care requires flexible, team-based approaches focused on reducing hospitalizations, repeat procedures, and stroke, with cardiology groups—supported by pharmacists managing complex therapies—best positioned to deliver comprehensive, quality-driven care that addresses both AFib and its cardiometabolic comorbidities.
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EP. 13: Final Thoughts on Arrhythmia Management
Experts agree that developing value-based care models for atrial fibrillation requires collaborative, data-driven strategies—leveraging clinical pharmacists for personalized medication management and prioritizing stroke prevention and rhythm control—while embracing innovation and workforce redesign to balance quality, cost-effectiveness, and avoid overdiagnosis in an evolving health care landscape.
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