The post-COVID telehealth boom has made synchronous ECG essential. Patients at home wearing a mobile cardiac telemetry (MCT) device can have their data downloaded in real-time to a remote monitoring center. If the patient experiences palpitations, the technician can see the rhythm seconds later and triage accordingly.

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The "synchronous" aspect of the download is critical for clinical workflow. When an ECG is performed, the device must align its internal clock with the hospital Information System (HIS) or Electronic Health Record (EHR).