Monitor Like a Pro: Continuous ST segment monitoring

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 careAmerican Journal of Critical Care20(3), 226-238.

Sandau, K. E., & Smith, M. (2009). Continuous ST-segment monitoring: protocol for practiceCritical care nurse29(4), 39-49.

Leeper, B. (2003). Continuous ST-segment monitoring. AACN Advanced Critical Care14(2), 145-154.

Aust, M. P. (2011). continuous St-segment Monitoring. American Journal of Critical Care20(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.