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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
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