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Peer-Reviewed Publication
Nat Rev Cardiol2026;23(1):9-22.January 1, 2026Journal Article

Access to digital health technologies: personalized framework and global perspectives.

Sanjiv M Narayan1,2, Mina K Chung3,4, Demilade Adedinsewo5, Luisa C C Brant6,7, Leslie L Davis8, David Duncker9, Jennifer L Hall10, Janet K Han11, Carolyn S P Lam12,13, Eldrin Lewis14, Joseph Loscalzo15, Manlio F Márquez16, Vasiliki Rahimzadeh17, Fatima Rodriguez14, Prashanthan Sanders18, Emma Svennberg19, Kenneth Stein20, Mintu Turakhia14,21, Clyde Yancy22, Antonis A Armoundas23,24
1Department of Medicine, Cardiovascular Institute (CVI), Institute for Computational and Mathematical Engineering (ICME), Stanford University, Palo Alto, CA, USA. sanjiv1@stanford.edu.
2School of Information Sciences, University of California, Berkeley, CA, USA. sanjiv1@stanford.edu.
3Department of Cardiovascular Medicine, Heart, Vascular & Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA.
4Department of Cardiovascular and Metabolic Sciences, Lerner Research Institute, Cleveland Clinic, Cleveland, OH, USA.
5Department of Cardiovascular Medicine, Mayo Clinic, Jacksonville, FL, USA.
6Faculty of Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
7Hospital das Clínicas Telehealth Center, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
8University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
9Hannover Heart Rhythm Center, Department of Cardiology and Angiology, Hannover Medical School, Hannover, Germany.
10American Heart Association, Data Science and Analytics, Dallas, TX, USA.
11David Geffen School of Medicine at the University of Los Angeles California, Los Angeles, CA, USA.
12National Heart Centre Singapore, Singapore, Singapore.
13Duke-National University of Singapore, Singapore, Singapore.
14Department of Medicine, Cardiovascular Institute (CVI), Institute for Computational and Mathematical Engineering (ICME), Stanford University, Palo Alto, CA, USA.
15Division of Cardiovascular Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
16Department of Electrocardiology, National Institute of Cardiology Ignacio Chávez, Mexico City, Mexico.
17Center for Medical Ethics & Health Policy, Baylor College of Medicine, Houston, TX, USA.
18Centre for Heart Rhythm Disorders, University of Adelaide and Royal Adelaide Hospital, Adelaide, South Australia, Australia.
19Karolinska Institutet, Department of Medicine (MedH), Karolinska University Hospital, Stockholm, Sweden.
20Boston Scientific, Marlborough, MA, USA.
21iRhythm Technologies, San Francisco, CA, USA.
22Northwestern University Medical Center, Chicago, IL, USA.
23Cardiovascular Research Center, Massachusetts General Hospital, Boston, MA, USA. armoundas.antonis@mgh.harvard.edu.
24Broad Institute, Massachusetts Institute of Technology, Cambridge, MA, USA. armoundas.antonis@mgh.harvard.edu.

Abstract

The emergence and rapid adoption of digital health technologies (DHT) present unprecedented opportunities to democratize and reduce disparities in health care by monitoring health and disease at the point of care in all patients. However, limited access to DHT is becoming a major obstacle to realizing these goals. Access to DHT is influenced not only by well-recognized social determinants of healt…

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