ST-segment monitoring: Putting standards into practice

AACN Advanced Critical Care

Volumn 18, Issue 3, 2007, Pages 275-284

  Flanders, Sonya A ^a  

^a BAYLOR HEALTH CARE SYSTEM   (United States)

Author keywords

Cardiac monitoring; ECG monitoring; ST segment monitoring

Indexed keywords

CASE REPORT; CONSENSUS DEVELOPMENT; EARLY DIAGNOSIS; ELECTROCARDIOGRAPHY; EQUIPMENT; EVIDENCE BASED MEDICINE; HEART ARRHYTHMIA; HEART MUSCLE ISCHEMIA; HUMAN; INFORMATION DISSEMINATION; INTENSIVE CARE; LONG QT SYNDROME; MASS COMMUNICATION; METHODOLOGY; MONITORING; NURSE ATTITUDE; NURSING; PATIENT ADVOCACY; PATIENT SELECTION; PRACTICE GUIDELINE; REVIEW; RISK FACTOR; STANDARD;

ARRHYTHMIAS, CARDIAC; CONSENSUS DEVELOPMENT CONFERENCES AS TOPIC; CRITICAL CARE; DIFFUSION OF INNOVATION; EARLY DIAGNOSIS; ELECTROCARDIOGRAPHY; EQUIPMENT FAILURE; EVIDENCE-BASED MEDICINE; HUMANS; INFORMATION DISSEMINATION; LONG QT SYNDROME; MONITORING, PHYSIOLOGIC; MYOCARDIAL ISCHEMIA; NURSE'S ROLE; PATIENT ADVOCACY; PATIENT SELECTION; PRACTICE GUIDELINES AS TOPIC; RISK FACTORS;

EID: 38449117872     PISSN: 15597768     EISSN: 15597768     Source Type: Journal    
DOI: 10.1097/01.AACN.0000284428.63460.52     Document Type: Review

References (29)

1. Drew BJ, Funk M. Practice standards for ECG monitoring in hospital settings: executive summary and guide for implementation. Crit Care Nurs Clin N Am. 2006;18(2):157-168.
2. Drew BJ, Califf RM, Funk M, et al. Practice standards for electrocardiographic monitoring in hospital settings. Circulation. 2004;110(17):2721-2746.
3. Patton JA, Funk M. Survey of use of ST-segment monitoring in patients with acute coronary syndromes. Am J Crit Care. 2001;10(1):23-34.
4. American Association of Critical-Care Nurses. Practice alert: ST segment monitoring. American Association of Critical-Care Nurses Web site. Published 2004. http://www.aacn.org//AACN/practiceAlert.nsf/Files/STSM/$file/ ST%20Segment%20Monitoring%208-2004.pdf. Accessed June 14, 2007.
5. Gibler WB, Cannon CP, Blomkalns AL, et al. Practical implementation of the guidelines for unstable angina/non-ST-segment elevation myocardial infarction in the emergency department. Ann Emerg Med. 2005;46(2):185-197.
6. Drew BJ, Krucoff MW. Multilead ST-segment monitoring in patients with acute coronary syndromes: a consensus statement for healthcare professionals. ST-Segment Monitoring Practice Guideline International Working Group. Am J Crit Care. 1999;8(6):372-388.
7. Krucoff MW, Parente AR, Bottner RK, et al. Stability of multilead ST-segment "fingerprints" over time after percutaneous transluminal coronary angioplasty and its usefulness in detecting reocclusion. Am J Cardiol. 1988;61:1232-1237.
8. Farkouh ME, Smars PA, Reeder GS, et al. A clinical trial of a chest-pain observation unit for patients with unstable angina. N Engl J Med. 1998;339(26):1882-1888.
9. Herren KR, Mackway-Jones K, Richards CR, Seneviratne CJ, France MW, Cotter L. Is it possible to exclude a diagnosis of myocardial damage within six hours of admission to an emergency department? Diagnostic cohort study. BMJ. 2001;323(7309):372-374.
10. Patel DJ, Holdwright DR, Knight CJ, et al. Early continuous ST segment monitoring in unstable angina: prognostic value additional to the clinical characteristics and the admission electrocardiogram. Heart. 1996;75(3):222-228.
11. Pelter MM, Adams MG, Drew BJ. Transient myocardial ischemia is an independent predictor of adverse in-hospital outcomes in patients with acute coronary syndromes treated in the telemetry unit. Heart Lung. 2003;32(2):71-78.
12. Klootwijk P, Cobbaert C, Fioretti P, Kint PP, Simoons ML. Noninvasive assessment of reperfusion and reocclusion after thrombolysis in acute myocardial infarction. Am J Cardiol. 1993;72(19):75G-84G.
13. Kawahito S, Kitahata H, Tanaka K, Nozaki J, Oshita S. Dynamic QRS-complex and ST-segment monitoring by continuous vectorcardiography during carotid endarterectomy. Br J Anaesth. 2003;90(2):142-147.
14. Landesberg G, Mosseri M, Wolf Y, Vesselov Y, Weissman C. Perioperative myocardial ischemia and infarction: identification by continuous 12-lead electrocardiogram with on-line ST-segment monitoring. Anesthesiology. 2002;96(2):264-270.
15. Shanewise JS. How to reliably detect ischemia in the intensive care unit and operating room. Semin Cardiothorac Vasc Anesth. 2006;10(1):101-109.
16. Booker KJ, Holm K, Drew BJ, et al. Frequency and outcomes of transient myocardial ischemia in critically ill adults admitted for noncardiac conditions. Am J Crit Care. 2003;12(6):508-517.
17. Chatila W, Ani S, Guanglione D, Jacob B, Amoateng-Adjepong Y, Manthous CA. Cardiac ischemia during weaning from mechanical ventilation. Chest. 1996;109(6):1577-1583.
18. Srivastava S, Chatila W, Amoateng-Adjepong Y, et al. Myocardial ischemia and weaning failure in patients with coronary artery disease: an update. Crit Care Med. 1999;27(10):2109-2112.
19. Frazier SK, Brom H, Widener J, Pender L, Stone KS, Moser DK. Prevalence of myocardial ischemia during mechanical ventilation and weaning and its effects on weaning success. Heart Lung. 2006;35(6):363-373.
20. Pelter MM, Adams MG. ST segment changes in right bundle branch block. Am J Crit Care. 2005;14(4):341-342.
21. Bell NN. Clinical significance of ST-segment monitoring. Crit Care Nurs Clin North Am. 1992;4(2):313-323.
22. Wung S-F, Kahn DY. A quantitative evaluation of ST-segment changes on the 18-lead electrocardiogram during acute coronary occlusions. J Electrocardiol. 2006;39(3):275-281.
23. Wung S-F. Discriminating between right coronary artery and circumflex artery occlusion by using a noninvasive 18-lead electrocardiogram. Am J Crit Care. 2007;16(1):63-71.
24. Conover MB. Normal Electrical Activation of the Heart. In: Conover MD, ed. Understanding Electrocardiography. 8th ed. St. Louis, MO: Mosby; 2003:8-22.
25. Graf C, Drew BJ. Continuous ST segment monitoring: how it works. Am J Nurs. 1993;93(suppl):18s-22s.
26. Flanders SA. Continuous ST-segment monitoring: raising the bar. Crit Care Nurs Clin North Am. 2006;18(2):169-177.
27. Clochesy JM, Cifani L, Howe K. Electrode site preparation techniques: a follow up study. Heart Lung. 1991;20(1):27-30.
28. Leeper B. Continuous ST-segment monitoring. AACN Clin Issues Crit Care Nurs. 2003;14(2):145-154.
29. London MJ. Multilead precordial ST-segment monitoring: "the next generation?" Anesthesiology. 2002;96(2):259-261.