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- W2085648449 abstract "resource. The purpose of this study was to evaluate the utility of telemetry monitoring guidelines in predicting clinically significant arrhythmias. Methods: We performed a retrospective study of 562 patients admitted to the telemetry unit. Differences in the arrhythmia event rates was determined between the patients whose monitoring was appropriately indicated by the guidelines compared with the group in which monitoring was not indicated by the guidelines. In addition to tabulating the absolute number of arrhythmias, the clinical significance of the arrhythmiaswas also determined. Arrhythmiaswere defined as clinically significant if there was an intervention or change in management, such as a change in drug type or dosage; cardioversion; electrophysiological study; or transfer to an intensive care unit. Results: Fifty-one (12%) vs six (4%) patients had at least one arrhythmic event on telemetry in the indicated group compared with the telemetry not indicated group. None of the patients in the group whom telemetry was not indicated had a clinically significant arrhythmia. In contrast though, in patients in the indicated group who had at least one arrhythmic event, 36% of these events were clinically significant with P b .001. Conclusion: This study supports the effectiveness and utility of telemetry guidelines and reinforces the fact, patients not meriting the criteria for cardiac monitoring are unlikely to have clinically significant arrhythmic event. Even if they did have an arrhythmic event it would be very unlikely to be clinically significant that would change patient management in any way." @default.
- W2085648449 created "2016-06-24" @default.
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- W2085648449 date "2008-11-01" @default.
- W2085648449 modified "2023-09-27" @default.
- W2085648449 title "Acoustic cardiographic electromechanical activation time correlates with echocardiographic parameters of left ventricular contractility in patients with myocardial ischemia" @default.
- W2085648449 doi "https://doi.org/10.1016/j.jelectrocard.2008.08.011" @default.
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