PMID: 8447874Jan 1, 1993Paper

Continuous 12-lead electrocardiograph monitoring in the emergency department

The American Journal of Emergency Medicine
F M Fesmire, E E Smith

Abstract

Many patients presenting to the emergency department with suspected acute myocardial infarction have an initial electrocardiogram (ECG) non-diagnostic for acute injury or ischemia. Continuous ST segment monitoring devices have been used by physicians in the past to diagnose ischemia in the ambulatory outpatient population and to identify coronary occlusion in postthrombolytic and postsurgical patients. We report three patients with suspected acute myocardial infarction who underwent real-time continuous 12-lead ST segment monitoring with frequent serial ECGs on a microprocessor-controlled device during their initial emergency department evaluation. Continuous 12-lead ECG monitoring revealed significant changes on the ECG in all three cases presented, with a resultant change in emergency department therapy. Interestingly, all of these patients had significant ECG changes in the absence of recurrence of chest pain. We believe real-time continuous 12-lead ST segment monitoring with frequent serial ECGs can identify patients with an initially nondiagnostic or atypical ECG who may benefit from early interventional therapy.

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Citations

Oct 1, 1995·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·S C Finefrock
Oct 1, 1995·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·S C Finefrock
May 26, 2001·Emergency Medicine Clinics of North America·W J BradyA D Perron
Jul 10, 1999·Journal of the American College of Cardiology·J E HollanderF S Shofer
Feb 1, 1996·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·S H SilberM Katapadi
Feb 11, 2005·Postgraduate Medical Journal·N I JowettP A Jones
Sep 16, 2006·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Maureen ChaseJudd E Hollander
Jul 1, 1995·Annals of Emergency Medicine·F M Fesmire
Jan 12, 2000·Journal of Dairy Science·R L Powell, H D Norman
Jun 19, 2001·Scandinavian Cardiovascular Journal : SCJ·M Dellborg
Mar 1, 1994·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·J W Hoekstra
Mar 1, 1994·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·J W HoekstraR Walsh

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