Telecardiology – telehealth or telemedicine – are already showing considerable growth in the human medical fields. Telehealth is associated with lower mortality and emergency admission rates on the human side, driven by the need to provide lower health care costs; but can also be important and integral in providing optimal care for patients. This technology can also be applied to our animal patients. This lecture focuses on advanced technologies such as leadless pacemakers, micro-PDA occluders, smart phone ECGs, advanced mitral valve repair surgeries/devices and more.