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Conventional Coronary Care Unit MonitoringNondetection of Transient Rhythm Disturbances
Joseph Lindsay, Jr., MD;
Nancy V. Bruckner
JAMA. 1975;232(1):51-53.
Abstract
Conventional electrocardiographic monitoring techniques depend on human observation of an oscilloscopic display for detection of transient rhythm disturbances such as premature ventricular contractions (PVCs). It is not surprising that such events are often missed. We have found that transient events are regularly identified only when they occur with a frequency exceeding one per minute. Rhythm disturbances such as coupled PVCs or PVCs in which R waves interrupt the preceding T wave ("R on T"), which constitute indications for antiarrhythmic therapy, may go undetected if they occur less frequently than this.
(JAMA 232:51-53, 1975)
Author Affiliations
From the Department of Medicine, George Washington University School of Medicine, Washington, DC.
Footnotes
Reprint requests to George Washington University Clinic, 2150 Pennsylvania Ave NW, Washington, DC 20037 (Dr. Lindsay).
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