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Showing 2 results for Electrocardiography
Roholla Hemmati, Ehsan Mohammadi, Ebrahim Salimi,
Volume 5, Issue 3 (12-2016)
Abstract
Abstract
Aim. This study aimed to review indications, benefits, limitations and procedure of continuous ST segment monitoring in critical care unites.
Background. Although the 12-lead electrocardiography is a standard and reliable tool to detecti ischemia in Acute Coronary Syndrome (ACS) patients, but it provides only a static snapshot. The American Heart Association (AHA) and American Association of Critical Care Nurses (AACCN) practice standards for ECG monitoring recommend continuous ischemia monitoring for all patients at risk of myocardial ischemia.
Method. This was a review study. International databases such as Proquest, CINAHL, PubMed, Scopus and one national database (SID) were searched out using the keywords; ST-segment Monitoring, Cardiac Monitoring and Acute Coronary Syndrome to find out materials published between years 2000 and 2015. About 189 citations were evaluated, out of which 15 citations were recruited in the final review.
Findings. Although continuous monitoring of ST segment has been introduced many years, but this technology is not widely used.Continuous monitoring of ST segment provides a frequent and dynamic assessment of changes associated with ischemia.Continuous ST segment monitoring as an effective method can be used to provide continuous and dynamic snapshot of ischemia, to evaluate response to reperfusion and anticoagulant therapy and also, can be used for prognostic or research purposes.
Conclusion. Despite some limitations, the use of continuous ST segment monitoring is recommended for patients with ACS, besides routine assessment.
Mohammad Javadinejad, Masoumeh Zakeri Moghaddam, Samaneh Ahmadi, Maryam Tahmasvand, Khatereh Seylani,
Volume 7, Issue 3 (12-2018)
Abstract
Abstract
Aim. This review study aims to investigate the impact of reducing Door-to-ECG (DTE) time on on morbidity and mortality of patients with chest pain referred to emergency department.
Background. Chest pain is the second most common reason for referral to an emergency unit. According to American Heart Association, all patients with chest pain presenting to the emergency ward should be approached with an ECG within 10 minutes of entrance to the emergency department. This is considered as the first line of diagnostic tests for myocardial infarction.
Method. In this narrative review study, several databases and search engines including SID, Pub Med, Google Scholar, Web of Science and Scopus were used to find the articles published between 2000 and 2018. The keywords used to search articles were “Door to ECG”, “chest pain”, “emergency unit” and “triage”. The articles selected for review were interventional or descriptive in terms of design, in Persian or English, with available full text. The criterion for selecting articles was the similarity of the their subject with the search keywords including Door to ECG (DTE) time and triage and their value in the early diagnosis and treatment of coronary disorders.
Findings. A total of 20 articles were found. After removing the articles that didn’t meet the inclusion criteria, 11 articles related to the subject of the study remained in review. The significant outcomes of timely triage, appropriate time to perform ECG, barriers to access and suggestions for faster treatment by the system especially the role of nurses, were investigated.
Conclusion. The reduction of triage time and Door to ECG (DTE) time as well as the role of the nurse in those cases are associated with a reduction in the morbidity and mortality of cardiac patients.
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