Consumer wearable devices capable of recording heart rate trends, beat-to-beat intervals, and single-lead electrocardiograms are rapidly being employed by patients with known or suspected arrhythmias. Two types of population using such devices are individuals at high risk or those who use them for early detection and prevention purposes and patients already diagnosed or suspected to have an arrhythmia. A common scenario is to employ these devices for patients with known or suspected arrhythmias, either to make an initial diagnosis or to assist in managing the arrhythmia after it has been detected. Individual patient interest in employing these tools varies dramatically, often based upon their comfort with digital technology. Once patients use this technology, they often find themselves forced to figure out how to share the data with their clinical provider. Providers must make accommodations for these patients, such as providing e-mail access, since EHR portals typically do not accommodate attachment of digital health data. The patient perspective of these tools will need to be assessed as these technologies mature.

On the basis of application, the market is segmented into lead-based and patch-based. The lead-based segment dominated the market of mobile cardiac telemetry systems market in 2019.

Traditional mobile cardiac telemetry systems have been two-piece systems that contain a receiver and a transmitter. The two-piece equipment contains wires that are attached to leads, which close the circuit from the heart to the receiver to the transmitter. Recent developments in mobile cardiac telemetry technology have created a one-piece device that can store data for up to thirty days. The one-piece device features a single receiver/recorder. One-piece designs are appealing to patients because they only have to worry about one piece of equipment, and it is less obtrusive.

Extended Holter, or “patch” technology as it’s commonly known, is a “long term” Holter device and not mobile cardiac telemetry technology. Though the “patch” does not require wires, it is a two piece technology that requires data to sync to a remote device via Bluetooth technology. Though this “Band-Aid” Style Patch adheres directly to the patient’s chest without wires, it is fairly large at roughly 5 inches long, 2 inches wide and more than an inch thick.

Many of the global low and middle income countries (LMICs) are experiencing an epidemiological evolution. By means of a development in socioeconomic conditions, the epidemiological change has steered the rise of non-communicable ailments particularly cardiovascular diseases (CVDs). CVDs have emerged as the principal causes of death worldwide. In 2016, more than 75% of the 17.9 million deaths from CVDs occurred in LMICs. Ischaemic heart disease and cerebrovascular disease are accountable for the massive cardiovascular deaths in LMICs. Though exhaustive international efforts to avert and treat cardiovascular deaths in high income countries (HICs) and LMICs are ongoing, cardiac arrhythmias continues as an ignored group of CVDs, especially in LMICs. With an increasing life expectancy seen in most LMICs, arrhythmias like atrial fibrillation (AF), ventricular arrhythmias due to ischaemic heart disease, sinus node dysfunction (SND) and heart block are probable to upsurge in these nations. As the treatment of cardiac arrhythmias frequently requires particular skills, facilities, exclusive equipment and devices to treat them effectively, it is not astounding that an extensive inequality exists in the standard of arrhythmia care between HICs and LMICs.