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Electrocardiogram

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2. Remote electrocardiogram (ECG) interpretation consultancy services to aid diagnosis and decision making in the primary care setting

Remote electrocardiogram (ECG) interpretation consultancy services to aid diagnosis and decision making in the primary care setting Remote ECG Interpretation (ambulatory testing in the community) - Health Technology Wales > Remote ECG Interpretation (ambulatory testing in the community) Remote ECG Interpretation (ambulatory testing in the community) Topic Status Complete Remote electrocardiogram (ECG) interpretation consultancy services to aid diagnosis and decision making in the primary care (...) setting. Summary Health Technology Wales researchers searched for evidence on the use of remote electrocardiogram (ECG) interpretation consultancy services for the testing of people with suspected cardiovascular disease. HTW’s Assessment Group concluded not to progress this topic further because there is limited evidence on the use of this technology.Health Technology Wales researchers searched for evidence on the use of remote electrocardiogram (ECG) interpretation consultancy services

2019 Health Technology Wales

3. Fetal electrocardiogram (ECG) for fetal monitoring during labour. Full Text available with Trip Pro

Fetal electrocardiogram (ECG) for fetal monitoring during labour. Hypoxaemia during labour can alter the shape of the fetal electrocardiogram (ECG) waveform, notably the relation of the PR to RR intervals, and elevation or depression of the ST segment. Technical systems have therefore been developed to monitor the fetal ECG during labour as an adjunct to continuous electronic fetal heart rate monitoring with the aim of improving fetal outcome and minimising unnecessary obstetric interference.To

2015 Cochrane

4. Interventions to reduce emergency department door-to- electrocardiogram times: A systematic review (Abstract)

Interventions to reduce emergency department door-to- electrocardiogram times: A systematic review We sought to identify emergency department interventions that lead to improvement in door-to-electrocardiogram (ECG) times for adults presenting with symptoms suggestive of acute coronary syndrome.Two reviewers searched Medline, Embase, CINAHL, and Cochrane CENTRAL from inception to April 2018 for studies in adult emergency departments with an identifiable intervention to reduce median door-to-ECG

2019 EvidenceUpdates

5. Randomised study comparing heart rate measurement in newly born infants using a monitor incorporating electrocardiogram and pulse oximeter versus pulse oximeter alone Full Text available with Trip Pro

Randomised study comparing heart rate measurement in newly born infants using a monitor incorporating electrocardiogram and pulse oximeter versus pulse oximeter alone To determine whether IntelliVue (ECG plus Masimo pulse oximeter (PO)) measures heart rate (HR) in low-risk newborns more quickly than Nellcor PO (PO alone).Unmasked parallel group randomised (1:1) study.We studied 100 infants, 47 randomised to IntelliVue, 53 to Nellcor. Time to first HR was shorter with IntelliVue ECG than Nellcor

2019 EvidenceUpdates

6. Electrocardiogram: his bundle potentials can be recorded noninvasively beat by beat on surface electrocardiogram. Full Text available with Trip Pro

Electrocardiogram: his bundle potentials can be recorded noninvasively beat by beat on surface electrocardiogram. The micro waveform of His bundle potential can't be recorded beat-to-beat on surface electrocardiogram yet. We have found that the micro-wavelets before QRS complex may be related to atrioventricular conduction system potentials. This study is to explore the possibility of His bundle potential can be noninvasively recorded on surface electrocardiogram.We randomized 65 patients (...) undergoing radiofrequency catheter ablation of paroxysmal superventricular tachycardia (exclude overt Wolff-Parkinson-White syndrome) to receive "conventional electrocardiogram" and "new electrocardiogram" before the procedure. His bundle electrogram was collected during the procedure. Comparative analysis of PAs (PA interval recorded on surface electrocardiogram), AHs (AH interval recorded on surface electrocardiogram) and HVs (HV interval recorded on surface electrocardiogram) interval recorded

2017 BMC Cardiovascular Disorders Controlled trial quality: uncertain

7. Brugada type 1 electrocardiogram: Should we treat the electrocardiogram or the patient? Full Text available with Trip Pro

Brugada type 1 electrocardiogram: Should we treat the electrocardiogram or the patient? Patients with a Brugada type 1 electrocardiogram (ECG) pattern may suffer sudden cardiac death (SCD). Recognized risk factors are spontaneous type 1 ECG and syncope of presumed arrhythmic origin. Familial sudden cardiac death (f-SCD) is not a recognized independent risk factor. Finally, positive electrophysiologic study (+EPS) has a controversial prognostic value. Current ESC guidelines recommend implantable

2017 World journal of cardiology

8. Relative versus absolute rises in T/QRS ratio by ST analysis of fetal electrocardiograms in labour: A case-control pilot study. Full Text available with Trip Pro

Relative versus absolute rises in T/QRS ratio by ST analysis of fetal electrocardiograms in labour: A case-control pilot study. The additional value of ST analysis during labour is uncertain. In ST analysis, a T/QRS baseline value is calculated from the fetal electrocardiogram and successive T/QRS ratios are compared to this baseline. However, variation in the orientation of the electrical heart axis between fetuses may yield different T/QRS baseline values. In case of a higher T/QRS baseline (...) (umbilical cord artery pH <7.05 at birth, defining acidaemia) and 10 controls (pH >7.20) were included. The fetal electrocardiogram was recorded using a STAN monitor. We electronically extracted all T/QRS values, baseline and episodic ST events from the STAN monitor and calculated the relative T/QRS changes. The cut-off for relative ST events was determined in a receiver operator characteristic (ROC) curve at optimal specificity for cord acidaemia. Parameters of interest were area under the curve (AUC

2019 PLoS ONE

9. Two-stage motion artefact reduction algorithm for electrocardiogram using weighted adaptive noise cancelling and recursive Hampel filter. Full Text available with Trip Pro

Two-stage motion artefact reduction algorithm for electrocardiogram using weighted adaptive noise cancelling and recursive Hampel filter. The presence of motion artefacts in ECG signals can cause misleading interpretation of cardiovascular status. Recently, reducing the motion artefact from ECG signal has gained the interest of many researchers. Due to the overlapping nature of the motion artefact with the ECG signal, it is difficult to reduce motion artefact without distorting the original ECG

2018 PLoS ONE

10. Perspectives of human verification via binary QRS template matching of single-lead and 12-lead electrocardiogram. Full Text available with Trip Pro

Perspectives of human verification via binary QRS template matching of single-lead and 12-lead electrocardiogram. This study aims to validate the 12-lead electrocardiogram (ECG) as a biometric modality based on two straightforward binary QRS template matching characteristics. Different perspectives of the human verification problem are considered, regarding the optimal lead selection and stability over sample size, gender, age, heart rate (HR).A clinical 12-lead resting ECG database, including

2018 PLoS ONE

11. Association of electrocardiogram alterations of rescuers and performance during a simulated cardiac arrest: A prospective simulation study. Full Text available with Trip Pro

Association of electrocardiogram alterations of rescuers and performance during a simulated cardiac arrest: A prospective simulation study. Performance of cardiopulmonary resuscitation (CPR) causes significant mental stress for rescuers, especially if performed by inexperienced individuals. Our aim was to study electrocardiogram (ECG) alterations in rescuers and its association with gender and CPR performance.We included 126 medical students in this prospective, observational simulator study

2018 PLoS ONE

12. Electrocardiogram-synchronized pulsatile extracorporeal life support preserves left ventricular function and coronary flow in a porcine model of cardiogenic shock. Full Text available with Trip Pro

Electrocardiogram-synchronized pulsatile extracorporeal life support preserves left ventricular function and coronary flow in a porcine model of cardiogenic shock. Veno-arterial extracorporeal life support (ECLS) is increasingly being used to treat rapidly progressing or severe cardiogenic shock. However, it has been repeatedly shown that increased afterload associated with ECLS significantly diminishes left ventricular (LV) performance. The objective of the present study was to compare LV (...) function and coronary flow during standard continuous-flow ECLS support and electrocardiogram (ECG)-synchronized pulsatile ECLS flow in a porcine model of cardiogenic shock.Sixteen female swine (mean body weight 45 kg) underwent ECLS implantation under general anesthesia and artificial ventilation. Subsequently, acute cardiogenic shock, with documented signs of tissue hypoperfusion, was induced by initiating global myocardial hypoxia. Hemodynamic cardiac performance variables and coronary flow were

2018 PLoS ONE

13. Noninvasive assessment of dofetilide plasma concentration using a deep learning (neural network) analysis of the surface electrocardiogram: A proof of concept study. Full Text available with Trip Pro

Noninvasive assessment of dofetilide plasma concentration using a deep learning (neural network) analysis of the surface electrocardiogram: A proof of concept study. Dofetilide is an effective antiarrhythmic medication for rhythm control in atrial fibrillation, but carries a significant risk of pro-arrhythmia and requires meticulous dosing and monitoring. The cornerstone of this monitoring, measurement of the QT/QTc interval, is an imperfect surrogate for plasma concentration, efficacy

2018 PLoS ONE

14. Paediatric Electrocardiograms

Paediatric Electrocardiograms The Cardiac Society of Australia and New Zealand Reporting of Paediatric Electrocardiograms – Position Statement The criteria for the reporting of paediatric ECGs are different from those for adult ECGs. Inappropriate reporting of paediatric ECGs may lead to unnecessary parental anxiety, over- investigation, and missed diagnoses. The Paediatric and Congenital Council recommends that all practitioners who report paediatric ECGs have appropriate training (...) algorithms, especially those generated for interpretation of adult ECGs, are often very unhelpful in regard to paediatric electrocardiograms. Computer calculated QT & QTc are not necessarily accurate. Automated reports should be carefully checked and should not be accepted without critical scrutiny of the ECG tracing. Caution should be exercised when reading faxed ECGs when there is a significant loss of quality. Mobile phone technology has enhanced the rapid transmission of ECG data for opinion. However

2016 Cardiac Society of Australia and New Zealand

15. The non-invasive fetal electrocardiogram monitoring during labor, a review of the literature

The non-invasive fetal electrocardiogram monitoring during labor, a review of the literature Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any associated files or external

2019 PROSPERO

16. A systematic review to determine the rate of sudden cardiac arrest and death in athletes, and to determine the benefits and harms of the electrocardiogram screening of athletes

A systematic review to determine the rate of sudden cardiac arrest and death in athletes, and to determine the benefits and harms of the electrocardiogram screening of athletes Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability

2019 PROSPERO

17. Does the anatomical placement of the electrocardiogram (ECG) electrodes affect diagnosis in the clinical setting?

Does the anatomical placement of the electrocardiogram (ECG) electrodes affect diagnosis in the clinical setting? Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any associated

2019 PROSPERO

18. Multi-arrhythmias detection with an XML rule-based system from 12-Lead Electrocardiogram Full Text available with Trip Pro

Multi-arrhythmias detection with an XML rule-based system from 12-Lead Electrocardiogram The computer-aided detection of cardiac arrhythmias stills a crucial application in medical technologies. The rule based systems RBS ensure a high level of transparency and interpretability of the obtained results.To facilitate the diagnosis of the cardiologists and to reduce the uncertainty made in this diagnosis.In this research article, we have realized a classification and automatic recognition

2017 Electronic physician

19. Role of coronary angiography in patients with a non-diagnostic electrocardiogram following out of hospital cardiac arrest: Rationale and design of the multicentre randomized controlled COUPE trial. (Abstract)

Role of coronary angiography in patients with a non-diagnostic electrocardiogram following out of hospital cardiac arrest: Rationale and design of the multicentre randomized controlled COUPE trial. Coronary artery disease (CAD) is a major cause of out-of-hospital cardiac arrest (OHCA). The role of emergency coronary angiography (CAG) and percutaneous coronary intervention (PCI) following cardiac arrest in patients without ST-segment elevation myocardial infarction (STEMI) remains unclear.We aim

2019 European heart journal. Acute cardiovascular care Controlled trial quality: uncertain

20. Limited Relationship of Voltage Criteria for Electrocardiogram Left Ventricular Hypertrophy to Cardiovascular Mortality (Abstract)

Limited Relationship of Voltage Criteria for Electrocardiogram Left Ventricular Hypertrophy to Cardiovascular Mortality Numerous methods have been proposed for diagnosing left ventricular hypertrophy using the electrocardiogram. They have limited sensitivity for recognizing pathological hypertrophy, at least in part due to their inability to distinguish pathological from physiological hypertrophy. Our objective is to compare the major electrocardiogram-left ventricular hypertrophy criteria (...) for electrocardiogram-left ventricular hypertrophy, and there were 744 cardiovascular deaths (annual cardiovascular mortality 0.25%). Receiver operating characteristic analysis demonstrated that the greatest area under the curve (AUC) for classification of cardiovascular death was obtained using the Romhilt-Estes score (0.63; 95% confidence interval, 0.61-0.65). Most of the voltage-only criteria had nondiagnostic area under the curves, with the Cornell being the best at 0.59 (95% confidence interval, 0.57-0.62

2017 EvidenceUpdates

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