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Comparison of electrocardiograms recorded with standardleads and derived from the vectorcardiographic frank leads in high risk patients
Department of Anaesthesiology, Karolinska Institute, Karolinska Hospital, Stockholm, Sweden.
Örebro University, School of Medical Sciences. Örebro University Hospital. Department of Surgery, Karolinska Institute, Karolinska Hospital, Stockholm, Sweden.ORCID iD: 0000-0003-2636-4745
Department of Cardiology, Karolinska Institute, Danderyd Hospital, Stockholm, Sweden.
Department of Cardiology, Karolinska Institute, Danderyd Hospital, Stockholm, Sweden.
1997 (English)In: Intensive Care Medicine, ISSN 0342-4642, E-ISSN 1432-1238, Vol. 23, no 10, p. 1049-1055Article in journal (Refereed) Published
Abstract [en]

Dynamic vectorcardiography (VCG) is increasingly employed for ischaemia monitoring with the use of a computerized method for recording and on-line analysis by the calculation of trend parameters. To elucidate how well the derived electrocardiogram (dECG), calculated from the VCC, compares with the simultaneously registered standard ECG (sECG), dECGs from 17 postoperative cardiac-risk patients and 36 subjects with acute myocardial infarction (AMI) were compared to sECGs, both quantitatively in leads II, III, V2 and V5 and qualitatively. Despite small, but some significant differences, mainly in the amplitudes of precordial leads, the qualitative interpretation by two independent cardiologists showed good agreement between the methods (kappa = 0.72 and 0.67, respectively) for the diagnosis of AMI/ischaemia. The dECG seems to be reliable and can be used clinically in these groups of patients during VCG recordings.

Place, publisher, year, edition, pages
1997. Vol. 23, no 10, p. 1049-1055
National Category
Anesthesiology and Intensive Care
Identifiers
URN: urn:nbn:se:oru:diva-63877DOI: 10.1007/s001340050455ISI: A1997YF37500007PubMedID: 9407240Scopus ID: 2-s2.0-0030716380OAI: oai:DiVA.org:oru-63877DiVA, id: diva2:1171033
Available from: 2018-01-05 Created: 2018-01-05 Last updated: 2018-02-06Bibliographically approved

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