Examining the causes and effects of electrode misplacement during electrocardiography: a literature review

Pearce, Arron

doi:10.12968/bjca.2019.0010

Cited by 3 publications

(2 citation statements)

References 50 publications

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“…2. Смещая пальцы вниз, определить положение угла грудины (место несколько ниже манубриостернального сочленения, у взрослых -консолидированного), непосредственно рядом с которым или несколько ниже его при смещении по горизонтали Зарегистрированные по этим схемам ЭКГ необходимо промаркировать "по Мейсону-Ликару", "по Хану" или "по Лунду", поскольку имеются сведения о неполном соответствии между ЭКГ со стандартным и смещенным положением электродов [8,[12][13][14].…”

Section: соблюдение санитарно-противоэпидемического режима при регист...unclassified

Resting 12-lead electrocardiography for adults and children. 2023 Guidelines

Drozdov,

Makarov,

Barkan

et al. 2023

Russ J Cardiol

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Section: соблюдение санитарно-противоэпидемического режима при регист...unclassified

Resting 12-lead electrocardiography for adults and children. 2023 Guidelines

Drozdov,

Makarov,

Barkan

et al. 2023

Russ J Cardiol

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show abstract

“…[7][8] Accurate electrode placement and acquisition of ECG is an essential skill required of nursing staff and health professionals alike and duly noted by The Nursing and Midwifery Council (NMC) (2010) standards for preregistration nurses. [9] Principally, acquisition of ECG traces should be reproducible and correctly identify various medical conditions such as cardiac arrhythmia, particularly acute coronary syndromes (ACS), and which aid in risk strati cation, detection and management of cardiac disease, notably ST elevation myocardial infarction.…”

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confidence: 99%

Is the Correct Anatomical Placement of the Electrocardiogram (ECG) Electrodes Essential to Diagnosis in the Clinical Setting: A Systematic Review

Hadjiantoni¹,

Oak²,

Mengi³

et al. 2021

Cardiol Cardiovasc Med

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Background: Anatomical misplacement of the Electrocardiogram (ECG) electrode(s) is common, with signi cant impact on clinical diagnosis. Reasons are multi-faceted, with this review examining the consequential effects of misplacement to ECG morphology, diagnosis, prognosis, patient outcomes, and potential impact to patient care pathway.Objectives: This review examined the signi cance of misplacement, its' commonality and ensuing effect on patient safety, accurate ECG acquisition and diagnosis, with evaluation of reasons for such misplacement.Methodology: Review of available literature was conducted using electronic databases. In-line with the Preferred Reporting Items for Systematic reviews and Meta -analysis protocols (PRISMA) 2015 checklist, this review was conducted with search criteria, search terms, eligibility for inclusion/ exclusion criteria, extraction and data analysis predetermined by the authors. Keywords were arranged according to grouping of terms surrounding ECG, anatomical placement, and diagnosis. The search strategy was conducted during September/October 2019. Scoping searches were conducted alongside reference lists of included studies hand searched (Snowballing) for further relevant studies. The Critical Appraisal Skills Programme (CASP) was used to methodically appraise papers (CASP, 2019). Screening of titles and abstracts of identi ed citations was performed by a single reviewer. Eligible articles then full text screened independently by two reviewers. Disagreements were discussed and resolved by a third reviewer. In instances of unclear reporting, authors were contacted to provide further information and clarity. Assessment of relevant literature and critical appraisal of primary research, pertaining to the clinical diagnosis and effects of anatomical misplacement of ECG electrodes, formulate the thematic discussion drawn by this review.Results: This review identi ed a plethora of causes, ranging from: operator error; lack of anatomical awareness; inaccurate assessment of anatomical landmarks; obesity; differences in anatomy/gender; levels of undress and lack of appreciation of consequences of misplacement, both modi able and nonmodi able attributable to electrode misplacement. Clinical diagnosis can be altered owing to erroneous placement of electrodes. ECG morphology is altered due to incorrect anatomical misplacement, culminating substandard practice, a missed diagnosis or misdiagnosis and potential harm.Conclusion: Correct anatomical placement of ECG electrodes is essential to diagnosis in the clinical setting. Peer-led educational intervention with mandatory training is essential to improve practice. PROSPERO Registration Number: CRD42019152461Background Prevalence of Coronary Artery Disease: Coronary artery disease (CAD) resides as the leading cause of death in most countries worldwide. [1] CAD and coronary heart disease (CHD) are synonymous, and terms which are used interchangeably. A heart attack is often the result of a build-up of plaque in the heart's arteries, or coronary arter...

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Is the Correct Anatomical Placement of the Electrocardiogram (ECG) Electrodes Essential to Diagnosis in the Clinical Setting A Systematic Review

Hadjiantoni¹,

Oak²,

Mengi³

et al. 2020

Preprint

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Background: Anatomical misplacement of the Electrocardiogram (ECG) electrode(s) is common, with significant impact on clinical diagnosis. Reasons are multi-faceted, with this review examining the consequential effects of misplacement to ECG morphology, diagnosis, prognosis, patient outcomes, and potential impact to patient care pathway. Objectives: This review examined the significance of misplacement, its’ commonality and ensuing effect on patient safety, accurate ECG acquisition and diagnosis, with evaluation of reasons for such misplacement.Methodology: Review of available literature was conducted using electronic databases. In-line with the Preferred Reporting Items for Systematic reviews and Meta – analysis protocols (PRISMA) 2015 checklist, this review was conducted with search criteria, search terms, eligibility for inclusion/ exclusion criteria, extraction and data analysis predetermined by the authors. Keywords were arranged according to grouping of terms surrounding ECG, anatomical placement, and diagnosis. The search strategy was conducted during September/October 2019. Scoping searches were conducted alongside reference lists of included studies hand searched (Snowballing) for further relevant studies. The Critical Appraisal Skills Programme (CASP) was used to methodically appraise papers (CASP, 2019). Screening of titles and abstracts of identified citations was performed by a single reviewer. Eligible articles then full text screened independently by two reviewers. Disagreements were discussed and resolved by a third reviewer. In instances of unclear reporting, authors were contacted to provide further information and clarity. Assessment of relevant literature and critical appraisal of primary research, pertaining to the clinical diagnosis and effects of anatomical misplacement of ECG electrodes, formulate the thematic discussion drawn by this review. Results: This review identified a plethora of causes, ranging from: operator error; lack of anatomical awareness; inaccurate assessment of anatomical landmarks; obesity; differences in anatomy/gender; levels of undress and lack of appreciation of consequences of misplacement, both modifiable and non-modifiable attributable to electrode misplacement. Clinical diagnosis can be altered owing to erroneous placement of electrodes. ECG morphology is altered due to incorrect anatomical misplacement, culminating substandard practice, a missed diagnosis or misdiagnosis and potential harm. Conclusion: Correct anatomical placement of ECG electrodes is essential to diagnosis in the clinical setting. Peer-led educational intervention with mandatory training is essential to improve practice. PROSPERO Registration Number: CRD42019152461

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Examining the causes and effects of electrode misplacement during electrocardiography: a literature review

Cited by 3 publications

References 50 publications

Resting 12-lead electrocardiography for adults and children. 2023 Guidelines

Resting 12-lead electrocardiography for adults and children. 2023 Guidelines

Is the Correct Anatomical Placement of the Electrocardiogram (ECG) Electrodes Essential to Diagnosis in the Clinical Setting: A Systematic Review

Is the Correct Anatomical Placement of the Electrocardiogram (ECG) Electrodes Essential to Diagnosis in the Clinical Setting A Systematic Review

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