As a practicing cardiologist at Providence Heart Institute in Portland, Oregon, and the medical director of Providence's Center for Cardiovascular Analytics, Research, and Data Science, Gluckman an brings deep experience in both patient care and health system transformation. The conversation covers remote patient monitoring, digital health tools, and the role of value-based models in promoting optimal therapy.
Long-Term Consequences of Arrhythmias
Experts discuss the complex clinical and economic challenges of atrial fibrillation, emphasizing the need for personalized care that balances symptom management, stroke prevention, and risk factor control—while recent evidence on subclinical atrial fibrillation highlights the limitations of widespread anticoagulation, reinforcing the importance of targeted, value-based strategies for optimal outcomes.
Clinical Presentation of Arrhythmias
Experts discuss the growing role of early detection and predictive strategies in managing arrhythmias—particularly atrial fibrillation—highlighting the impact of wearable technology, challenges in diagnosis due to intermittent symptoms, and the shift toward more personalized, value-based care driven by timely evaluation and evidence-based interventions.
The analysis highlighted a shift in heart failure diagnoses, with hypertensive heart disease with and without chronic kidney disease as prevalent diagnoses, underlining coding variability and implications for research.