Continuous ECG monitoring in hospital: part 1, indications

Journal article


Sampson, M (2018). Continuous ECG monitoring in hospital: part 1, indications. British Journal of Cardiac Nursing. 13 (2), pp. 80-85.
AuthorsSampson, M
Abstract

Continuous monitoring of the electrocardiogram (ECG) is a common intervention in people admitted to hospital, especially when the cause of admission has a cardiovascular origin. Although widely considered a simple, routine procedure, ECG monitoring requires expert knowledge and sound clinical judgement for it to be used safely. Incorrect use of monitoring equipment can result in suboptimal care, and adverse patient outcomes, including death. Patient selection, correct set-up of equipment, and careful alarm management are all important in ensuring that monitoring is conducted safely. In this article, the first of two, the indications for monitoring are discussed and evaluated. For most patients, this will be arrhythmia monitoring; however, some will have an additional requirement for ischaemia or QT interval monitoring. The practical aspects of ECG monitoring will be addressed in the second article in this series.

KeywordsElectrocardiogram; ECG monitoring; Arrhythmia; QT interval; Ischaemia; 1102 Cardiovascular Medicine And Haematology; 1110 Nursing; 1117 Public Health And Health Services
Year2018
JournalBritish Journal of Cardiac Nursing
Journal citation13 (2), pp. 80-85
PublisherMark Allen Healthcare
ISSN1749-6403
Digital Object Identifier (DOI)doi:10.12968/bjca.2018.13.2.80
Publication dates
Print21 Feb 2018
Publication process dates
Deposited21 Mar 2018
Accepted01 Jan 2018
Accepted author manuscript
License
CC BY 4.0
Permalink -

https://openresearch.lsbu.ac.uk/item/86vz1

  • 2
    total views
  • 42
    total downloads
  • 0
    views this month
  • 1
    downloads this month

Related outputs

Exploring controversies in electrocardiogram electrode placement
Sampson, M (2019). Exploring controversies in electrocardiogram electrode placement. British Journal of Cardiac Nursing. 14 (7), pp. 1-2.
Ambulatory electrocardiography: indications and devices
Sampson, M (2019). Ambulatory electrocardiography: indications and devices. British Journal of Cardiac Nursing. 14 (3), pp. 114-121.
Antiarrhythmic drugs. Part 3: rate-control drugs
Sampson, M. (2019). Antiarrhythmic drugs. Part 3: rate-control drugs. British Journal of Cardiac Nursing. 14 (11), pp. 1-11.
Antiarrhythmic drugs. Part 2: rhythm control
Sampson, M. (2019). Antiarrhythmic drugs. Part 2: rhythm control. British Journal of Cardiac Nursing. 14 (10).
Antiarrhythmic drugs. part 1: an overview
Sampson, M. (2019). Antiarrhythmic drugs. part 1: an overview. British Journal of Cardiac Nursing. 14 (9).
Understanding the ECG Part 2: ECG basics
McGrath, A and Sampson, M (2016). Understanding the ECG Part 2: ECG basics. British Journal of Cardiac Nursing. 10 (12), pp. 588-594.
The diet conundrum
Sampson, M (2017). The diet conundrum. British Journal of Cardiac Nursing. 12 (4), pp. 161-161.
Led by a cuppa: the journey of an Arrhythmia Nurse Specialist
Sampson, M (2017). Led by a cuppa: the journey of an Arrhythmia Nurse Specialist. British Journal of Cardiac Nursing. 12 (6), pp. 272-273.
Check a pulse—save a life
Sampson, M (2017). Check a pulse—save a life. British Journal of Cardiac Nursing. 12 (6), pp. 265-266.
Pills or push-ups?
Sampson, M (2017). Pills or push-ups? British Journal of Cardiac Nursing. 12 (8), pp. 369-369.
Heart disease and mental health
Sampson, M (2017). Heart disease and mental health. British Journal of Cardiac Nursing. 12 (10), pp. 473-473.
The future of specialist nursing
Sampson, M (2017). The future of specialist nursing. British Journal of Cardiac Nursing. 12 (2), pp. 577-577.
Continuous ECG monitoring in hospital: part 2, practical issues
Sampson, M (2018). Continuous ECG monitoring in hospital: part 2, practical issues. British Journal of Cardiac Nursing. 13 (3), pp. 128-134.
Electrocardiograms: a guide to rhythm recognition for emergency nurses
McGrath, A and Sampson, M (2018). Electrocardiograms: a guide to rhythm recognition for emergency nurses. Emergency Nurse. 26 (1).
Understanding the ECG. Part 4: Conduction blocks
Sampson, M (2016). Understanding the ECG. Part 4: Conduction blocks. British Journal of Cardiac Nursing. 11 (2), pp. 71-78.
Understanding the ECG. Part 3: Arrhythmias
Sampson, M (2016). Understanding the ECG. Part 3: Arrhythmias. British Journal of Cardiac Nursing. 11 (1), pp. 15-20.
Understanding the ECG. Part 6: QRS axis
Sampson, M (2016). Understanding the ECG. Part 6: QRS axis. British Journal of Cardiac Nursing. 11 (4), pp. 180-188.
Understanding the ECG. Part 7: Chamber enlargement
Sampson, M (2016). Understanding the ECG. Part 7: Chamber enlargement. British Journal of Cardiac Nursing. 11 (5), pp. 230-238.
Understanding the ECG. Part 8: myocardial ischaemia and infarction (part A)
Sampson, M (2016). Understanding the ECG. Part 8: myocardial ischaemia and infarction (part A). British Journal of Cardiac Nursing. 11 (6), pp. 290-298.
Understanding the ECG. Part 5: Pre-excitation.
Sampson, M (2016). Understanding the ECG. Part 5: Pre-excitation. British Journal of Cardiac Nursing. 11 (3), pp. 123-130.
Understanding the ECG. Part 9: Myocardial ischaemia and infarction (part B)
Sampson, M (2016). Understanding the ECG. Part 9: Myocardial ischaemia and infarction (part B). British Journal of Cardiac Nursing. 11 (7), pp. 332-343.
Understanding the ECG. Part 10: Pacing, drugs and electrolytes
Sampson, M (2016). Understanding the ECG. Part 10: Pacing, drugs and electrolytes. British Journal of Cardiac Nursing. 11 (8), pp. 376-388.