นพ. PATTANACHAI CHALERMWAN, M.D.
CARDIOLOGY

Catching the culprit to confirm whether the abnormal symptoms you experience are indeed an arrhythmia, and if so, identifying which type, is crucial. Therefore, having a continuous cardiac monitoring system is the most important element in diagnosing cardiac arrhythmias when symptoms occur.
There are dozens of types of arrhythmias, each with different causes, symptoms, severity, and treatment methods. Some types present no symptoms and are only discovered during routine check-ups or hospital visits for other conditions. Some cause annoying palpitations, while more severe types can cause fatigue, dizziness, fainting, loss of consciousness, or even sudden heart failure.
Technological advancements have led to Remote Heart Rhythm Monitoring, which sends ECG data recorded during symptoms to (Cloud Storage) via a mobile phone application carried by the patient. This allows physicians to review stored data anytime, anywhere, and diagnose cardiac arrhythmias quickly without requiring the patient to visit the hospital.
Patients with infrequent, short-duration arrhythmias, or those with fainting episodes that cannot be detected by standard diagnostic methods.
Patients at high risk for Atrial Fibrillation, AF, which is common in older adults and a major cause of ischemic stroke. Continuous daily ECG monitoring increases the detection rate of atrial fibrillation, allowing treatment to begin before a stroke occurs.
Patients with ischemic stroke of unknown cause. A subset of these patients has underlying atrial fibrillation that was undetected initially, leaving them without appropriate treatment and at risk for recurrent stroke. More frequent and longer ECG monitoring helps improve diagnostic rates.
Patients with implanted pacemakers or defibrillators face the burden of traveling to the hospital every 3–6 months for device checkups. This is inconvenient for patients living in provinces or abroad, as well as elderly individuals with mobility challenges.
Advancements in this technology enable doctors to monitor the function of these devices without requiring patients to come to the hospital. Remote heart rhythm monitoring services are currently available, with physicians selecting the appropriate monitoring device for each patient's condition.

This system empowers physicians to provide better, more convenient, and more efficient care for arrhythmia patients while reducing unnecessary hospital visits.
Read more: What causes cardiac arrhythmia, and can it really be cured?