Key result
Continuous ECG monitoring using the EASI system was a valid alternative to standard 12-lead ECG for detecting cardiac rhythm abnormalities and myocardial ischemia across 1,164 ECG leads.
Why the study?
Does continuous ECG monitoring in EASI mode accurately identify basic ECG alterations compared to standard 12-lead ECG in patients admitted to the CCU for acute myocardial infarction?
Observational (n=13)
Does continuous ECG monitoring in EASI mode accurately identify basic ECG alterations compared to standard 12-lead ECG in patients admitted to the CCU for acute myocardial infarction?
Continuous ECG monitoring using the 5-cable EASI system is a valid alternative to standard 12-lead ECG for detecting rhythm and ischemic abnormalities in CCU patients.
Supports EASI monitoring in CCU AMI patients; leaves open need for prospective outcome trials before practice change.
AIMS AND OBJECTIVES: This study was carried out to verify the accuracy of 12-Lead ECG, obtained through a continuous ECG monitoring system with five cables positioned in EASI mode, to identify basic ECG alterations. BACKGROUND: This study concerns continuous ECG monitoring systems in Coronary Care Units. Continuous ECG monitoring is an important device for nursing surveillance and is useful in decreasing adverse events. DESIGN AND METHOD: Thirteen patients admitted consecutively to the Coronary Care Unit for Acute Myocardial Infarction underwent daily and simultaneous recording of a12-lead ECG using both procedures: EASI ECG and STANDARD ECG. A sample of 1,164 ECG leads acquired in EASI mode was compared with a sample of as many ECG leads acquired using the standard procedure with a traditional cardiograph. RESULTS AND CONCLUSIONS: In the Coronary Care Unit, Continous ECG monitoring with five cables positioned in EASI mode is a valid alternative to the standard 12-lead ECG for cardiac rhythm abnormalities detection and for acute myocardial ischemia and old myocardial infarction assessment. Therefore, the EASI system might be advantageous for long-term patient monitoring. RELEVANCE TO CLINICAL PRACTICE: The EASI system represents a valid device for the nursing surveillance of patients who need continuous ECG monitoring, improves clinical nursing practice in Coronary Care Units, supports the reduction of adverse events such as cardiac arrest and reduces the hospital costs.
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Lancia et al. (2008) conducted an observational in Acute Myocardial Infarction (n=13). EASI system 12-lead ECG vs. Standard 12-lead ECG was evaluated on Detection of cardiac rhythm abnormalities, acute myocardial ischemia, and old myocardial infarction. Continuous ECG monitoring using the EASI system was a valid alternative to standard 12-lead ECG for detecting cardiac rhythm abnormalities and myocardial ischemia across 1,164 ECG leads.
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