Document Detail

Optimum bedside cardiac monitoring.
MedLine Citation:
PMID:  11098525     Owner:  NLM     Status:  MEDLINE    
Correct electrode placement is critical to obtaining accurate information from any monitoring lead. The choice of lead should be based on the goals of monitoring for a specific patient population and on the individual patient's clinical situation. When using a 5-wire monitoring cable, arm electrodes should be placed on the shoulders; leg electrodes, on the lower thorax or hip area; and the chest electrode, in the desired V lead position. When using a 3-wire system, lead placement depends on which lead is desired for monitoring. If arrhythmia diagnosis is the goal of monitoring, lead V1 is the best lead; lead V6 is the next best lead. If ST segment monitoring for ischemia or reocclusion following percutaneous coronary interventions is the goal, the best lead depends on the coronary artery involved. Multiple lead monitoring is superior to single lead monitoring. If two leads are available, V1 and lead III or aVF (or a limb lead with maximal ST segment displacement) are good choices. If three leads are available, leads V1, III, and aVF are the best choices. Continuous 12-lead monitoring is available and offers several advantages.
C Jacobson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Progress in cardiovascular nursing     Volume:  15     ISSN:  0889-7204     ISO Abbreviation:  Prog Cardiovasc Nurs     Publication Date:  2000  
Date Detail:
Created Date:  2001-02-14     Completed Date:  2001-03-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8704064     Medline TA:  Prog Cardiovasc Nurs     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  134-7     Citation Subset:  IM; N    
Swedish Medical Center, Seattle, WA, USA.
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MeSH Terms
Electrocardiography / instrumentation,  methods*,  standards*
Electrodes / supply & distribution
Heart Diseases / diagnosis*
Monitoring, Physiologic / instrumentation,  methods*,  standards*
Patient Selection
Point-of-Care Systems / standards*
Reproducibility of Results

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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