EHRA perspective on the digital data revolution in arrhythmia management: insights from the association’s annual summit
The 2024 European Heart Rhythm Association (EHRA) Summit in Warsaw focused on the digital transformation of arrhythmia management, convening over 130 stakeholders from academia, industry, and policy. This review summarises the current state (in 2025) and future directions of digital health in arrhythmia care, including remote monitoring (RM) of cardiac implantable electronic devices (CIEDs), mobile health (mHealth), artificial intelligence (AI), and integration into the European Health Data Space (EHDS). RM has become central to CIED follow-up, improving outcomes and reducing healthcare use. However, challenges in reimbursement, workforce adaptation, and data interoperability persist. The absence of standardised data exchange between device vendors and healthcare systems has led to initiatives like the World Forum on CIED follow-up to develop interoperability standards. mHealth tools, including apps and wearable devices, offer accurate arrhythmia detection but face regulatory, digital literacy, and privacy barriers. The EHDS aims to enable cross-border data sharing for personalised care and real-world research, though implementation must address ethical, legal, and infrastructural issues. AI shows promise in prediction, monitoring, and data integration, but lacks standardised, transparent validation. The ESC-EHRA Atlas in Heart Rhythm Disorders supports structured data collection to harmonize and benchmark care across Europe. Overall, digital innovations, if coupled with regulatory alignment, interoperability standards, and equitable access, have the potential to shift arrhythmia management toward a more predictive, personalized, and efficient model of care.
Authors
- Radu Huculeci (ORCID: https://orcid.org/0000-0003-0863-4668)
- Helmut Pürerfellner (ORCID: https://orcid.org/0000-0002-8965-8495)
- Hein Heidbüchel (ORCID: https://orcid.org/0000-0001-9301-8127)
- Serge Bovéda (ORCID: https://orcid.org/0000-0002-1280-7042)
- Douglas S. Scherr (ORCID: https://orcid.org/0000-0001-5868-5493)
- Haran Burri (ORCID: https://orcid.org/0000-0002-4393-5338)
- Giovanni Luca Botto (ORCID: https://orcid.org/0000-0002-8049-7517)
- Katarzyna Małaczyńska-Rajpold (ORCID: https://orcid.org/0000-0002-9049-546X)
- Michał M. Farkowski (ORCID: https://orcid.org/0000-0003-1673-7712)
- Nikolaos Dagres (ORCID: https://orcid.org/0000-0003-0323-4956)
- Rubén Casado-Arroyo (ORCID: https://orcid.org/0000-0002-3876-6074)
- David Duncker (ORCID: https://orcid.org/0000-0003-2996-6338)
- VASSIL BORISLAVOV TRAYKOV (ORCID: https://orcid.org/0000-0002-9523-6416)
- José Luís Merino (ORCID: https://orcid.org/0000-0002-1737-1903)
- Csaba Földesi (ORCID: https://orcid.org/0000-0002-5033-117X)
- Elena Arbelo (ORCID: https://orcid.org/0000-0003-0424-6393)
- Piotr Szymański (ORCID: https://orcid.org/0000-0001-9486-7892)
- Giuseppe Boriani (ORCID: https://orcid.org/0000-0002-9820-4815)
Institutions
- University of Modena and Reggio Emilia (IT)
- Université Libre de Bruxelles (BE)
- University of Antwerp (BE)
- Guy's and St Thomas' NHS Foundation Trust (GB)
- Medical University of Graz (AT)
- Tokuda Hospital (BG)
- Hospital Universitario La Paz (ES)
- Lister Hospital (GB)
- Gottsegen National Cardiovascular Center (HU)
- European Society of Cardiology (FR)
- Medizinische Hochschule Hannover (DE)
- Acibadem City Clinic (BG)
- Centro de Investigación en Red en Enfermedades Cardiovasculares (ES)
- Antwerp University Hospital (BE)
- European Society for Paediatric Oncology (BE)
- University Hospital of Geneva (CH)
- Azienda Ospedaliero-Universitaria di Modena (IT)
- European Society of Intensive Care Medicine (BE)
- ATS Sardegna (Italy) (IT)
- Centro de Investigación Biomédica en Red (ES)
- Hospital Clínic de Barcelona (ES)
- East and North Hertfordshire NHS Trust (GB)
- Ministry of Interior (IT)
- Krankenhaus der Elisabethinen (AT)
- Ministry of Interior and Administration (PL)
- Institute of Cardiology (PL)
- Clinique Pasteur (FR)
- ERN GUARD-Heart (NL)
- Deutsches Herzzentrum München (DE)
- Consorci Institut D'Investigacions Biomediques August Pi I Sunyer (ES)
- Berlin Heart (Germany) (DE)
- Geneva College (US)
- Universitat de Barcelona (ES)
Publication Details
- Journal
- EP Europace
- Published
- 2025-07-14
- DOI
- https://doi.org/10.1093/europace/euaf149
- Citations
- 9
- Primary Topic
- Cardiac pacing and defibrillation studies
- Type
- article
- Field-Weighted Citation Impact
- 12.49