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August 23, 2026European Heart Journal - Digital HealthOpen Access

Digital Health in Value-Based Cardiology and EP: Evidence, Gaps and Opportunities—A Systematic Review

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Authors

LOLucia OsoroNKNikola KozhuharovDMDavide Antonio Mei

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Overview

Systematic review reveals digital health tools improve cardiology outcomes like atrial fibrillation detection, highlighting a shortage of cost-effectiveness trials.

Key Points

  • To systematically assess the role of digital health technologies as enablers of value-based healthcare in cardiology and electrophysiology, identifying proven benefits and evidence gaps.
  • Conducted a systematic review (PROSPERO CRD420250650295) across PubMed, ScienceDirect, and Mendeley (2017–2024) adhering to PRISMA 2020 guidelines.
  • Identified and synthesized evidence from 62 studies and 23 policy documents across domains including electronic patient-reported outcome measures, mobile health, telemedicine, artificial intelligence, and learning health systems.
  • Only 4 included studies (6.5%) were randomized controlled trials, with 18 studies (29%) specifically addressing cardiovascular conditions and electrophysiology.
  • Digital health tools demonstrated value through enhanced medication adherence, earlier atrial fibrillation detection, heart failure telemonitoring, and outcome tracking, though few quantified cost-effectiveness or quality-adjusted life years.
Trending Research#11 this week

This systematic review addresses the increasingly important intersection of digital health and value-based care in cardiology, a topic of significant discussion among clinicians and healthcare administrators.

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Cite This Study

Osoro et al. (2026) studied this question.

synapsesocial.com/papers/6a8aadb47677a34114446171https://doi.org/10.1093/ehjdh/ztag090
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