Document Detail


Value of routine cardiac monitoring in the management of acute myocardial infarction outside a coronary care unit.
MedLine Citation:
PMID:  5774079     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In a coronary care unit patients and electrocardiographic monitors are under almost continuous observation by trained personnel. This paper suggests that in a general medical ward without this facility routine cardiac monitoring with E.C.G. oscilloscopes is unlikely to lower the overall mortality from acute myocardial infarction. A mortality of 25% for acute myocardial infarction was the same for a hospital without a coronary care unit where monitoring was routinely performed and for two neighbouring hospitals which did not routinely use monitoring during the period of analysis.The need to train personnel in the recognition of E.C.G. monitor tracings and the difficulties associated with monitor alarm systems are emphasized.
Authors:
P J Hubner; M J Goldberg; C W Lawson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  British medical journal     Volume:  1     ISSN:  0007-1447     ISO Abbreviation:  Br Med J     Publication Date:  1969 Mar 
Date Detail:
Created Date:  1969-05-01     Completed Date:  1969-05-01     Revised Date:  2010-10-26    
Medline Journal Info:
Nlm Unique ID:  0372673     Medline TA:  Br Med J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  815-7     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Arrhythmias, Cardiac / mortality
Electrocardiography*
Female
Humans
Male
Monitoring, Physiologic*
Myocardial Infarction / diagnosis,  mortality*,  therapy
Prognosis
Comments/Corrections

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


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