12-lead ECG analysis programs are not created equal
The University of Glasgow ECG analysis program is considered to be among best-in-class by cardiologists. It has been studied in over 100 published articles on detection of arrhythmias and morphology abnormalities.
Automated detection of STEMI on 12-lead ECG
Computerised ECG analysis programs can be an important element in a well-designed approach to prehospital STEMI detection and hospital cath lab activation.
Best practice for STEMI system of care includes using trained paramedics to diagnose STEMI in ACS patients, using a 12-lead interpretive program as a trusted second opinion, and transmission to a hospital physician for overread.
The University of Glasgow ECG analysis program used in LIFEPAK 15 monitor/defibrillators offers multiple clinical advantages.
SEE FIGURE BELOW
The Glasgow program gives an interpretive statement for STEMI due to significant anteroseptal ST elevation:
Key features of the University of Glasgow ECG analysis program
- Highly accurate for STEMI detection
- STEMI thresholds based on age and gender as recommended by the AHA/ACCF/ESC
- Measures ST level at the J point for STEMI as recommended by the AHA/ACCF/ESC
- Uses Sgarbossa criteria for STEMI detection in LBBB as recommended by the AHA/ACCF/ESC
- Provides pediatric interpretive analysis for paediatric patients down to newborns
Resources on 12-lead and STEMI
Study: High sensitivity for LIFEPAK 15 monitor/defibrillator STEMI detection algorithm
Bosson N, Sanko S, Stickney R, et al. Causes of prehospital misinterpretations of ST elevation myocardial infarction. Only 1.6% out of 45,000 ECGs were classified as STEMI false positives. Read summary.
Study: Benefits of integrating the prehospital 12-lead ECG into regional STEMI networks
Rokos IC, French WJ, Koenig WJ, et al. This study evaluates the rate of timely (≤90 minutes) reperfusion with primary percutaneous coronary intervention (PPCI) for STEMI patients in STEMI Regional Center networks across the United States. Read clinical summary.
Quick reference guide: Minimizing ECG artifact
ECG artifact nearly always originates from sources unrelated to the monitor. Learn best practice suggestions for minimizing artifact. Download pocket guide
Quick reference guide: ECG lead placement and identifying lead reversal
This quick reference guide is intended to show correct ECG electrode locations and how to recognize inadvertent lead wire reversal. Download guide
Twenty years of biphasic research has provided direction on how to maximise conversions, particularly for patients who are difficult to defibrillate.
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