Pitfalls and artifacts in electrocardiography

被引:30
作者
Drew, Barbara J. [1 ]
机构
[1] Univ Calif San Francisco, Dept Physiol Nursing, San Francisco, CA 94143 USA
关键词
D O I
10.1016/j.ccl.2006.04.006
中图分类号
R5 [内科学];
学科分类号
1002 [临床医学]; 100201 [内科学];
摘要
The standard 12-lead ECG is a common diagnostic test that provides a wealth of diagnostic information of value for clinical decision making. Its value, however, depends upon the accuracy of its recording. This article presents common errors in clinical electrocardiography including inaccurate lead placement, inappropriate serial comparisons using different lead sets, lead wire reversals, inappropriate filter settings, and excessively noisy signals. Practical information is provided to prevent errors and to improve the quality and utility of ECGs.
引用
收藏
页码:309 / +
页数:8
相关论文
共 19 条
[1]
Einthoven's triangle: Lead errors and an algorithm for solution [J].
Bennett, FT ;
Bennett, KR ;
Markov, AK .
AMERICAN JOURNAL OF THE MEDICAL SCIENCES, 2005, 329 (02) :71-77
[2]
False positive ECG reports of anterior myocardial infarction in women [J].
Colaco, R ;
Reay, P ;
Beckett, C ;
Aitchison, TC ;
Macfarlane, PW .
JOURNAL OF ELECTROCARDIOLOGY, 2000, 33 :239-244
[3]
DERIVING THE 12-LEAD ELECTROCARDIOGRAM FROM 4 (EASI) ELECTRODES [J].
DOWER, GE ;
YAKUSH, A ;
NAZZAL, SB ;
JUTZY, RV ;
RUIZ, CE .
JOURNAL OF ELECTROCARDIOLOGY, 1988, 21 :S182-S187
[4]
Drew B J, 1996, Am J Crit Care, V5, P198
[5]
Practice standards for electrocardiographic monitoring in hospital settings - An American Heart Association Scientific Statement from the councils on cardiovascular nursing, clinical cardiology, and cardiovascular disease in the young [J].
Drew, BJ ;
Califf, RM ;
Funk, M ;
Kaufman, ES ;
Krucoff, MW ;
Laks, MM ;
Macfarlane, PW ;
Sommargren, C ;
Swiryn, S ;
Van Hare, GF .
CIRCULATION, 2004, 110 (17) :2721-2746
[6]
Comparison of a new reduced lead set ECG with the standard ECG for diagnosing cardiac arrhythmias and myocardial ischemia [J].
Drew, BJ ;
Pelter, MM ;
Brodnick, DE ;
Yadav, AV ;
Dempel, D ;
Adams, MG .
JOURNAL OF ELECTROCARDIOLOGY, 2002, 35 :13-21
[7]
Clinical consequences of ST-segment changes caused by body position mimicking transient myocardial ischemia: Hazards of ST-segment monitoring? [J].
Drew, BJ ;
Adams, MG .
JOURNAL OF ELECTROCARDIOLOGY, 2001, 34 (03) :261-264
[8]
Bedside diagnosis of myocardial ischemia with ST-segment monitoring technology - Measurement issues for real-time clinical decision making and trial designs [J].
Drew, BJ ;
Wung, SF ;
Adams, MG ;
Pelter, MM .
JOURNAL OF ELECTROCARDIOLOGY, 1997, 30 :157-165
[9]
COMPARISON OF A VECTORCARDIOGRAPHICALLY DERIVED 12-LEAD ELECTROCARDIOGRAM WITH THE CONVENTIONAL ELECTROCARDIOGRAM DURING WIDE QRS COMPLEX TACHYCARDIA, AND ITS POTENTIAL APPLICATION FOR CONTINUOUS BEDSIDE MONITORING [J].
DREW, BJ ;
SCHEINMAN, MM ;
EVANS, GT .
AMERICAN JOURNAL OF CARDIOLOGY, 1992, 69 (06) :612-618
[10]
Accuracy of the EASI 12-lead electrocardiogram compared to the standard 12-lead electrocardiogram for diagnosing multiple cardiac abnormalities [J].
Drew, BJ ;
Pelter, MM ;
Wung, SF ;
Adams, MG ;
Taylor, C ;
Evans, GT ;
Foster, E .
JOURNAL OF ELECTROCARDIOLOGY, 1999, 32 :38-47