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Interview by Jodie Elrod

At Heart Rhythm 2026, Bradley Knight, MD, sits down with Graham Peigh, MD, to discuss the rapidly expanding role of digital health in electrophysiology. Dr Peigh highlights how wearable technologies—ranging from consumer smartwatches to advanced ECG-capable devices—are transforming arrhythmia detection and patient self-management, particularly in atrial fibrillation. He also shares insights into emerging innovations such as streamlined multi-lead ECG systems, and discusses the growing clinical integration of digitally captured data. The conversation further explores the evolving REACT-AF trial, which leverages wearable-guided anticoagulation strategies, and touches on additional meeting highlights, including new consensus updates in lead management and extraction.