Time is Muscle
Delivering continuous ST-segment monitoring for those at risk of myocardial infarction can provide a dynamic approach to cardiac monitoring, picking up changes in the ST-segment. This can supplement the continuous bedside ecg monitoring, static 12 lead ecg and monitoring the trend of cardiac enzymes such as Troponin’s, CK, CK-MB.
This is not new technology, its been around since the mid-1980s. Take a read of the resources below on the theory, how to set up, best lead for monitoring of suspected occluded coronary artery for monitoring of ischaemia.
ST and STEMI Maps
Keywords: ST Elevation; J-Point; Myocardial Infarction; AMI; STEMI; NSTEMI
Sangkachand, P., Sarosario, B., & Funk, M. (2011). Continuous ST-segment monitoring: nurses’ attitudes, practices, and quality of patient care. American Journal of Critical Care, 20(3), 226-238.
Sandau, K. E., & Smith, M. (2009). Continuous ST-segment monitoring: protocol for practice. Critical care nurse, 29(4), 39-49.
Leeper, B. (2003). Continuous ST-segment monitoring. AACN Advanced Critical Care, 14(2), 145-154.
Aust, M. P. (2011). continuous St-segment Monitoring. American Journal of Critical Care, 20(3), 239-239.
GE Healthcare. (2010). Quick Guide 12 Lead ST-segment Monitoring.
Sydney LHD. (2015). Continuous ST Monitoring in Intensive care Unit (ICU).
Note: This post is not sponsored or endorsed by an products or companies, it’s purely focused on understanding monitoring technology and potentially enhancing the level of care delivered in acute coronary care situations. Please share any other monitoring methods or technologies in the comment section below.