1East Carolina University Brody School of Medicine, Department of Internal Medicine, Greenville, NC,

2Cone Health, LeBauer Research Foundation, Cone Health, LeBauer Research Foundation, Department of Cardiovascular Research, Greensboro, NC,

3Medtronic, Inc, Minneapolis, MN

Correspondence: James D. Allred, MD, FACC, FHRS, CHMG HeartCare, 1126 North Church Street, Suite 300, Greensboro NC 27401. Tel: (336)509-0042; E-mail: [email protected]

J. Allred has received speaker honoraria from Medtronic, Inc, Biosense Webster, and Janssen. A. Seiler has received speaker honoraria from Medtronic, Inc and Biosense Webster. A. Seiler and J. Allred have company ownership in CV Remote Solutions. R. Hokanson is employed by Medtronic, Inc. This study was certified exempt by the Moses H. Cone Health System Institutional Review Board (Project Number 1126852-1).