The COVID-19 pandemic necessitated significant innovation to protect patients and to maintain established levels of care for patients with cardiac implantable electronic devices (CIED). 1,2 Specific high-risk groups were identified for complications from COVID early, including the elderly and those with chronic medical conditions. Cardiac electrophysiology (EP) clinics are often filled with elderly and frail patients who may or may not have access to remote monitoring.Remote monitoring has consistently demonstrated significant broad health benefits, cost savings, and high patient satisfaction. 3,4 Nonetheless, disparities in remote monitoring follow-up have been identified, such that patients who were younger, European American, collegeeducated, higher income, and active on patient portals were more likely to be active with remote monitoring of their CIED. 5 Specifically, older CIED patients have reported that they have significantly less interest in remote data transfer. 6 The desire for face-to-face (FTF) care may point to the value patients receive in clinic including: reassurance, emotional support, and positive reinforcement for health behaviors. EP clinics are | © 2023 Wiley Periodicals LLC. Cardiac EP can be proud of its ongoing innovative spirit throughout its history. Pairing innovation with patient centric care may require new maps of care to accommodate our patients. The COVID era prompted change in clinical care, but our ongoing openness to change and patient centric care models will drive the future of our disciplines.