CONTINUOUS ECG MONITORING: WHAT DO CLINICAL GUIDELINES SAY
https://doi.org/10.21518/2079-701X-2017-7-84-88
Abstract
In clinical practice, electrocardiogram (ECG) is interpreted after registration across at least 12 leads or after completion of a multi-hour ECG monitoring (which can also be performed in 12 leads), and in real time with a simple visual observation or by automatic analysis of the individual parameters. At the same time, in real time ECG the number of leads may be different, including 12, and it does not exclude the possibility of simultaneous recording for archiving and subsequent additional analysis. The apparent advantage of ECG interpretation in real time is the possibility of a rapid response to the identified disturbances (particularly, in the event of life-threatening arrhythmias and myocardial ischemia). Retrospective analysis of a long-term ECG recording does not offer such a possibility.
About the Author
I. S. Yavelov
National Research Center for Preventive Medicine
Russian Federation
Russian Federation
MD,
Moscow
References
1. Drew BJ, Califf RM, Funk M et al. 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: Endorsed by the International Society of Computerized Electrocardiology and the American Association of Critical-Care Nurses. Circulation, 2004, 110: 2721-2746.
2. Roffi M, Patrono C, Collet JP et al. 2015 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation: Task Force for the management of acute coronary syndromes in patients presenting without persistent ST-seg ment elevation of the European Society of Cardiology (ESC). Eur Heart J, 2016, 37: 267-315.
3. Amsterdam EA, Wenger N, Brindis RG et al. 2014 AHA/ACC Guidelines for the management of patients with non–ST-elevation acute coronary syndrome: a report of the American College of Cardiology Foundation/ American Heart Association Task Force on practice guidelines. Circulation, 2014, 130: e344-e426.
4. Steg PG, James SK, Atar D et al. ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation. The Task Force on the management of ST-segment elevation acute myocardial infarction of the European Society of Cardiology (ESC). Eur Heart J, 2012, 33: 2569-2619.
5. O’Gara PT, Kushner FG, Ascheim DD et al. 2013 ACCF/AHA Guideline for the Management of ST-elevation Myocardial Infarction. A Report of the American College of Cardiology Founda tion/American Heart Association Task Force on Practice Guidelines. JACC, 2013, 61: 485-510.
6. Ponikowski P, Voors AA, Anker SD et al. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC). Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. Eur Heart J, 2016, 18: 891-975.
7. Kristensen SD, Knuuti J, Saraste A et al. 2014 ESC/ESA Guidelines on non-cardiac surgery: cardiovascular assessment and management. The Joint Task Force on non-cardiac surgery: cardiovascular assessment and management of the European Society of Cardiology (ESC) and the European Society of Anaesthesiology (ESA). Eur Heart J, 2014, 35: 2383-2430.
8. Kirchhof P, Benussi S, Kotecha D et al. 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS. The Task Force for the management of atrial fibrillation of the European Society of Cardiology (ESC). Developed with the special contribution of the European Heart Rhythm Association (EHRA) of the ESC. Endorsed by the European Stroke Organisation (ESO). Eur Heart J, 2016, 37: 2893-2962.
9. Priori SG, Blomstrom-Lundqvist C, Mazzanti A et al. 2015 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death. The Task Force for the Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death of the European Society of Cardiology (ESC). Endorsed by: Association for European Paediatric and Congenital Cardiology (AEPC). Eur Heart J, 2015, 36: 2793-2867.
Review
For citations:
Yavelov IS. CONTINUOUS ECG MONITORING: WHAT DO CLINICAL GUIDELINES SAY. Meditsinskiy sovet = Medical Council. 2017;(7):84-88. (In Russ.) https://doi.org/10.21518/2079-701X-2017-7-84-88
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