Unreliability of conventional electrocardiography monitoring for arrhythmia detection in coronary care units

Autor: Donald W. Romhilt, Saul S. Bloomfield, Noble O. Fowler, Te-Chuan Chou
Rok vydání: 1973
Předmět:
Zdroj: The American Journal of Cardiology. 31:457-461
ISSN: 0002-9149
DOI: 10.1016/0002-9149(73)90294-4
Popis: To evaluate the reliability of conventional coronary care unit electrocardiographic monitoring, a study was made of 31 consecutive patients with uncomplicated verified acute myocardial infarction. All patients were monitored routinely with conventional equipment, and at the same time the electrocardiogram for each patient was recorded continuously on electromagnetic tape and stored for later analysis by an automated arrhythmia detection system. All patients studied were within 24 hours of the onset of chest pain and on entry into study all were free of shock, heart block, bundle branch block, severe heart failure or an existing arrhythmia. By conventional monitoring, premature ventricular contractions were recognized in 64.5 percent of patients compared with 100 percent using the automated detection system (P
Databáze: OpenAIRE