Patch ECG Monitors have emerged as a convenient, patient-friendly alternative to traditional Holter devices, enabling extended ambulatory rhythm monitoring with minimal disruption to daily activities. These lightweight, adhesive patches continuously record cardiac electrical activity over days or weeks, improving the detection of intermittent arrhythmias that may be missed during brief standard tests. As healthcare systems embrace digital health and remote diagnostics, clinicians are increasingly interested in how patch-based monitoring can be integrated into routine practice, and often seek dedicated sessions at a cardiology conference to understand indications, interpretation workflows and evolving technologies in this space. Because these devices sit within the broader landscape of wearable ECG and remote heart monitors, this session explores their role in modern arrhythmia evaluation and long-term rhythm surveillance.

The programme begins by outlining clinical situations where patch monitors offer clear advantages, such as evaluating unexplained palpitations, cryptogenic stroke, suspected atrial fibrillation, syncope, presyncope and therapy-response assessment. Extended recording durations dramatically increase the likelihood of capturing transient events, while simple application encourages better adherence compared with bulky recorders. Attendees will review evidence demonstrating how patch monitoring improves diagnostic yield, informs treatment decisions and supports risk stratification across diverse patient populations.

Technical and practical considerations are addressed in detail. The session examines patch placement techniques, signal quality optimisation, artifact reduction and strategies for supporting patients with sensitive skin or comorbidities. Participants will learn how devices store and transmit data, how automated algorithms detect arrhythmic episodes and how clinician review ensures accurate classification of benign versus clinically significant rhythms. Integration of patch-monitor data into electronic records and workflow systems is also discussed.

Because data volume can be substantial, the session explores reporting formats, triage pathways and collaboration with remote monitoring centres. Attendees gain insight into how to prioritise cases requiring urgent attention, such as high-grade AV block or sustained atrial fibrillation, while efficiently managing benign findings. Special scenarios, including paediatric use, post-ablation monitoring, post-stroke evaluation and assessment after medication changes, are highlighted through case examples.

Future directions include multi-parameter patches that simultaneously track activity, respiratory signals and hemodynamic surrogates; AI-driven analytics that refine arrhythmia detection; and integration with patient-facing applications that support symptom logging and education. By combining patient comfort with extended monitoring capability, patch ECG technology offers an important tool for improving arrhythmia diagnosis, personalising treatment and reducing the need for more invasive or resource-intensive investigations. The session also considers reimbursement issues, equity of access, and practical tips for educating patients on patch care, showering, skin preparation and symptom diary completion so that recordings are of high quality and the resulting clinical decisions are both safe and well informed. Ultimately, participants will understand where patch monitors fit within the wider diagnostic pathway and how to deploy them effectively in everyday cardiology practice.