PMID: 22574547May 12, 2012Paper

The incidence of clinically significant ECG abnormalities detected by routine everyday ECG: the first analysis from CCU/ICCU patients in Siriraj Hospital

Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
Thananya BoonyasirinantRewat Phankingthongkum

Abstract

Electrocardiography (ECG) has been routinely performed in all patients in CCU and ICCU in Siriraj Hospital everyday in the morning until discharge for screening the abnormalities, such as ischemic changes and arrhythmia. Nevertheless, the occurrence of ECG changes from everyday recording is not common and the real incidence has not been studied. There is uncertainty regarding the benefit derived, when weighted with the cost and the time wasted from the routine everyday ECG. The purpose of the present study was to demonstrate the incidence of ECG abnormalities that can be detected and have the effects on treatment from the routine everyday ECG in the patients admitted in CCU and ICCU. One hundred and ten patients, admitted in CCU/ICCU in Siriraj Hospital were consecutively enrolled in the present study. Routine everyday 12 leads ECG was performed in the morning in all patients. ECG was interpreted by 2 cardiologists for the incidence and detail of ECG changes as compared to prior ECG. Furthermore, the incidence of those changes that affected management was recorded. Disease spectra and onset of ECG changes were reported. ECG changes from routine everyday ECG was 52.7%, however 25.9% of these changes could be detected by telemetr...Continue Reading

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