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Impact of the American College of Cardiology/American Heart Association guidelines for interpretability of continuous electrocardiography on the association of silent ischemia with troponin release after major noncardiac surgery
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
 
ID 1192662
Author(s) Filipovic, Miodrag
Author(s) at UniBasel Seeberger-Stucky, Manfred
Filipovic, Miodrag
Year 2009
Title Impact of the American College of Cardiology/American Heart Association guidelines for interpretability of continuous electrocardiography on the association of silent ischemia with troponin release after major noncardiac surgery
Journal Journal of electrocardiology : an international publication for the study of the electrical activities of the heart
Volume 42
Number 5
Pages / Article-Number 455-461.e1
Abstract INTRODUCTION: Preexisting electrocardiographic abnormalities may limit accuracy of continuous electrocardiography (cECG) for ischemia determination. The American College of Cardiology/American Heart Association published criteria for the exclusion of unsuitable cECG curves from ST-segment interpretation. These criteria consider medication and 12-lead ECG findings (medication- and 12-lead ECG-based criteria) and cECG lead characteristics (cECG-based criteria). METHODS: We recorded cECG in 300 patients undergoing major noncardiac surgery. We determined postoperative troponin and 12-month outcome. We compared the associations of cECG-detected ischemia with troponin and 12-month outcome with and without adherence to the criteria. RESULTS: Adherence to the medication- and 12-lead ECG-based criteria enhanced the association between troponin and perioperative ischemia in CM5 (odds ratio, 3.74; 95% confidence interval, 1.88-7.44) and 7.03 (2.67-18.49), respectively; P = .049). Similarly, the association between ischemia in CM5 and 12-month outcome tended to increase (P = .081). CONCLUSIONS: Applying the guideline criteria for the interpretation of cECG enhanced cECG diagnostic value in surgical patients.
Publisher Churchill Livingstone
ISSN/ISBN 0022-0736
edoc-URL http://edoc.unibas.ch/dok/A6002913
Full Text on edoc No
Digital Object Identifier DOI 10.1016/j.jelectrocard.2009.05.008
PubMed ID http://www.ncbi.nlm.nih.gov/pubmed/19595362
ISI-Number WOS:000269759700021
Document type (ISI) Article
 
   

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