Medicus, Vol. 34. No. 1. KRM zdravlje, 2025.
Review article
Digital Health Monitoring in Cardiology
Ivo Darko Gabrić
Abstract
Digital health monitoring in cardiology represents a fundamental shift in the diagnosis, monitoring, and treatment of cardiovascular diseases (CVD). The use of wearable devices, mobile applications, telemedicine solutions, and artificial intelligence (AI) enables continuous cardiac rhythm surveillance, early arrhythmia detection, and personalized, timely interventions. Smartwatches with ECG functionality, wearable patches, and implantable loop recorders allow for long-term rhythm monitoring and identification of conditions such as atrial fibrillation, while AI models support early diagnosis of acute coronary syndromes and prediction of complications. In CVD prevention, digital interventions—including mobile apps and SMS-based programs—have shown efficacy in improving risk factor control and medication adherence. Telemonitoring of heart failure patients, exemplified by the REMOTE-HF program in Germany, has led to reduced rehospitalization rates and mortality. Moreover, home-based, digitally guided cardiac rehabilitation programs demonstrate outcomes comparable to conventional in-clinic rehabilitation. The concept of digital twins, which integrates individual patient data, further enhances the potential for precision therapy. Despite its promise, digital cardiology faces several challenges, including technical interoperability issues, data privacy concerns, and usability barriers among older adults. Successful integration requires medical device certification, comprehensive user education, and the inclusion of proven digital health services within reimbursement frameworks. When properly implemented, digital health in cardiology holds the potential to significantly improve clinical outcomes and empower patients in managing their cardiovascular health.
Keywords
Hrčak ID:
338541
URI
Publication date:
27.10.2025.
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