Chair Julian Chun (Frankfurt, DE) led a discussion on prolonged cardiac monitoring and its impact on patient care, with presenters Suneet Mittal (New York, US) and Patrick Badertscher (Basel, CH). Dr Mittal focused on the CAMELOT study, which compared different monitoring technologies, including Holter monitors, patch-based systems, mobile telemetry and implantable loop recorders. Findings highlighted the superior diagnostic yield and efficiency of long-term continuous monitoring over other methods, particularly in detecting arrhythmias like atrial fibrillation (AF). Dr Mittal also discussed how monitoring strategies influence the need for repeat testing and healthcare resource utilisation, with patch-based systems showing improved patient compliance.

Prof Badertscher shared real-world applications of long-term monitoring, particularly in post-TAVI patients, arrhythmia clinics and post-stroke AF detection. He highlighted studies demonstrating the high diagnostic efficiency of continuous ECG patches, reducing retest rates and healthcare costs. Both speakers discussed the evolving role of monitoring in clinical decision-making, including its potential impact on anticoagulation strategies post-AF ablation and its use in detecting premature ventricular contractions. The session concluded with insights into the decline of implantable loop recorders in favour of wearable, AI-assisted monitoring solutions, which are reshaping arrhythmia management.