Safety of Stress Echocardiography Supervised by Registered Nurses: Results of a 2-Year Audit of 15,404 Patients

Kane, Garvan C.; Hepinstall, Mary J.; Kidd, G. M.; Kuehl, Cathryn A.; Murphy, Amy T.; Nelson, Janice M.; Schneider, Le Rae; Stussy, Vicky L.; Warmsbecker, Jennifer A.; Miller, Fletcher A.; Pellikka, Patricia A.; McCully, Robert B.

doi:10.1016/j.echo.2007.08.028

Cited by 58 publications

(33 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Some variability was found but this was related to lead selection and importantly no significant differences were found. Kane, et al (2008) also report similar levels of accuracy in an American study.…”

Section: Historical Development Of the Ett Nursesupporting

confidence: 60%

“…refer to challenges facing nurses in the research arena and importantly applying findings to practice particularly if they want to be recognised as leaders in clinical practice. Zecchin, et al, (1999) (Kane, et al, 2008).…”

Section: Literature Discussionmentioning

confidence: 99%

“…Despite findings, the actual utilisation of non-physicians in the supervising role was seen to be less progressive. This was attributed to the complex protocols, use of pharmacological agents and actual •risk• of patients (Kane et al, 2008). However, growing demand on services has meant there has been consideration of training •otherƒ staff in order to provide services.…”

Section: Historical Development Of the Ett Nursementioning

confidence: 99%

See 2 more Smart Citations

Role Development of Nurses Supervising Exercise Tolerance Tests

Ward

2010

Heart, Lung and Circulation

View full text Add to dashboard Cite

Section: Historical Development Of the Ett Nursesupporting

confidence: 60%

Section: Literature Discussionmentioning

confidence: 99%

Section: Historical Development Of the Ett Nursementioning

confidence: 99%

See 1 more Smart Citation

Role Development of Nurses Supervising Exercise Tolerance Tests

Ward

2010

Heart, Lung and Circulation

View full text Add to dashboard Cite

“…[65][66][67][68][69] In a prospective pilot investigation of nonphysician supervision of patients with severe chronic heart failure (left ventricular ejection fraction Յ0.35), Squires et al 70 reported only 1 serious complication (an episode of ventricular fibrillation that was successfully reverted without adverse sequelae) during 289 cardiopulmonary exercise tests. Another preliminary report 68 noted that exercise and pharmacological stress testing could be conducted safely by specially trained nurses and exercise physiologists in selected high-risk patients with implantable cardioverter defibrillators.…”

Section: Expanded Role For Allied Health Professionalsmentioning

confidence: 99%

Recommendations for Clinical Exercise Laboratories

Myers¹,

Arena

Franklin³

et al. 2009

Circulation

275

107

View full text Add to dashboard Cite

“…Dobutamine stress echocardiography has been reported to induce AF in 1-4% of patients, with serious AF requiring treatment occurring in fewer than 0.18% of patients. [28][29][30][31] Dobutamine-induced AF during stress echocardiography is usually transient and spontaneously reverts to sinus rhythm within hours. Nonetheless, it can compromise the diagnostic value of the stress test and in some cases lead to hospitalization.…”

Section: Cardiac Stimulantsmentioning

confidence: 99%

Drug-Induced Atrial Fibrillation

Killeen¹

2012

Cardiac Drug Safety

View full text Add to dashboard Cite

Atrial fibrillation (AF) is a common cardiac arrhythmia that is associated with severe consequences, including symptoms, hemodynamic instability, increased cardiovascular mortality, and stroke. While other arrhythmias such as torsades de pointes and sinus bradycardia are more typically thought of as drug-induced, AF may also be precipitated by drug therapy, although ascribing causality to drug-associated AF is more difficult than with other drug-induced arrhythmias. Drug-induced AF is more likely to occur in patients with risk factors and comorbidities that commonly coexist with AF, such as advanced age, alcohol consumption, family history of AF, hypertension, thyroid dysfunction, sleep apnea, and heart disease. New-onset AF has been associated with cardiovascular drugs such as adenosine, dobutamine, and milrinone. In addition, medications such as corticosteroids, ondansetron, and antineoplastic agents such as paclitaxel, mitoxantrone, and anthracyclines have been reported to induce AF. Whether bisphosphonate drugs are associated with new onset AF remains controversial and requires further study. The potential contribution of specific drug therapy should be considered when patients present with new onset AF.

show abstract

Safety of Stress Echocardiography Supervised by Registered Nurses: Results of a 2-Year Audit of 15,404 Patients

Cited by 58 publications

References 15 publications

Role Development of Nurses Supervising Exercise Tolerance Tests

Role Development of Nurses Supervising Exercise Tolerance Tests

Recommendations for Clinical Exercise Laboratories

Drug-Induced Atrial Fibrillation

Contact Info

Product

Resources

About