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Potential solutions for providing standard electrocardiogram recordings from nonstandard recording sites.

Pahlm, Olle LU and Wagner, Galen S (2008) In Journal of Electrocardiology 41(3). p.207-210
Abstract
For a 12-lead resting electrocardiogram (ECG) to be considered "standard," limb electrodes should be placed distally on the limbs. When resting ECGs are taken in conjunction with an ECG-monitoring situation, so-called monitoring sites (as described by Mason and Likar and also others) on the torso are used. Numerous publication have indicated that these ECGs are not identical with those recorded from distal sites, and this prohibits application of visual or computer-based interpretation criteria as well as serial comparison with standard ECGs. Loss of Q waves diagnostic for inferior wall myocardial infarction, as well as marked differences in frontal plane electrical axis, is the most commonly encountered problem with torso-recorded ECGs.... (More)
For a 12-lead resting electrocardiogram (ECG) to be considered "standard," limb electrodes should be placed distally on the limbs. When resting ECGs are taken in conjunction with an ECG-monitoring situation, so-called monitoring sites (as described by Mason and Likar and also others) on the torso are used. Numerous publication have indicated that these ECGs are not identical with those recorded from distal sites, and this prohibits application of visual or computer-based interpretation criteria as well as serial comparison with standard ECGs. Loss of Q waves diagnostic for inferior wall myocardial infarction, as well as marked differences in frontal plane electrical axis, is the most commonly encountered problem with torso-recorded ECGs. This overview suggests 4 possible solutions to this dilemma. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of Electrocardiology
volume
41
issue
3
pages
207 - 210
publisher
Elsevier
external identifiers
  • wos:000255544400012
  • pmid:18433611
  • scopus:42349091474
ISSN
1532-8430
DOI
10.1016/j.jelectrocard.2008.02.001
language
English
LU publication?
yes
id
60398003-f6ee-45d0-8c6e-8c8aa3a3b17c (old id 1147097)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/18433611?dopt=Abstract
date added to LUP
2008-05-06 14:59:58
date last changed
2017-01-15 04:24:04
@article{60398003-f6ee-45d0-8c6e-8c8aa3a3b17c,
  abstract     = {For a 12-lead resting electrocardiogram (ECG) to be considered "standard," limb electrodes should be placed distally on the limbs. When resting ECGs are taken in conjunction with an ECG-monitoring situation, so-called monitoring sites (as described by Mason and Likar and also others) on the torso are used. Numerous publication have indicated that these ECGs are not identical with those recorded from distal sites, and this prohibits application of visual or computer-based interpretation criteria as well as serial comparison with standard ECGs. Loss of Q waves diagnostic for inferior wall myocardial infarction, as well as marked differences in frontal plane electrical axis, is the most commonly encountered problem with torso-recorded ECGs. This overview suggests 4 possible solutions to this dilemma.},
  author       = {Pahlm, Olle and Wagner, Galen S},
  issn         = {1532-8430},
  language     = {eng},
  number       = {3},
  pages        = {207--210},
  publisher    = {Elsevier},
  series       = {Journal of Electrocardiology},
  title        = {Potential solutions for providing standard electrocardiogram recordings from nonstandard recording sites.},
  url          = {http://dx.doi.org/10.1016/j.jelectrocard.2008.02.001},
  volume       = {41},
  year         = {2008},
}