Time to body surface map acquisition compared with ED 12-lead and right-sided ECG

Fox, Timothy R.; Burton, John H.; Strout, Tania D.; Bachman, David T.; Higgins, George L.; Snyder, Graham E.; Shaps, Howard J.

doi:10.1053/ajem.2003.50062

Cited by 6 publications

(4 citation statements)

References 20 publications

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“…In the study by Ornato et al (2009), BSM also detected an occasional anterior wall STEMI that was not detected with the 12-lead ECG. Body surface mapping technology is equivalent to that of the 12-lead ECG in that it is noninvasive and can be performed successfully by trained personnel within the same rapid door-to-ECG times recommended by the American Heart Association (Fox, Burton, Strout, Bachman, & Higgins, 2003). Just as with the 12-lead ECG, providers using the 80-lead ECG require education to insure accuracy of interpretation.…”

Section: Discussionmentioning

confidence: 99%

Body Surface Mapping Improves Diagnosis of Acute Myocardial Infarction in the Emergency Department

Franks

Lawson

2012

Advanced Emergency Nursing Journal

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Traditionally, the diagnosis of acute myocardial infarction (AMI) in emergency departments is done through an assessment of history and presenting symptoms, 12-lead electrocardiogram (ECG), and cardiac biomarkers. The 12-lead ECG is not highly sensitive for detecting ECG changes, and some infarctions may be missed. Failure to identify patients in the early stages of AMI can result in failure to provide beneficial therapies. New technology, the 80-lead ECG, uses body surface mapping to provide a more comprehensive view of cardiac electrical activity. Body surface mapping has greater sensitivity in detecting AMI in the inferoposterior portions of the left ventricle and the right ventricle. Portable hardware and user-friendly software coupled with an easily applied disposable torso vest containing the electrodes produce a 12-lead ECG, 80-lead ECG, and color contour torso or flat map showing ECG changes. Recent studies support the use of 80-lead body surface mapping for detecting AMI in the emergency department.

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Section: Discussionmentioning

confidence: 99%

Body Surface Mapping Improves Diagnosis of Acute Myocardial Infarction in the Emergency Department

Franks

Lawson

2012

Advanced Emergency Nursing Journal

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“…Recordings are computer generated, resulting in instant colorcoded graphs and printable algorithms. 1,3 All exercise stress echocardiograms, 12-lead ECG, and 80-lead BSM were performed and completed at the UCDMC Echo and Stress Laboratory. The study protocol was approved by the UCDMC institutional review board.…”

Section: -Lead Body Surface Mapmentioning

confidence: 99%

Comparative Analysis Using the 80-Lead Body Surface Map and 12-Lead ECG With Exercise Stress Echocardiograms

Rodriguez

Santos²

2006

Journal of Diagnostic Medical Sonography

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The conventional 12-lead electrocardiogram (ECG) has limited value for assessing the etiology of cardiac symptoms. Approximately 2% to 10% of patients with coronary artery disease (CAD) and acute myocardial infarctions (AMI) are missed by this method. 1 New research on ECG devices with increased numbers of leads shows that enlarging the sample area of the ECG can improve diagnostic capability. One of these methods is a technology known as a body surface map (BSM). 2 The 80-lead BSM is an innovative technology that comprises 80 unipolar signals: an anterior surface of 64 electrodes, including limb leads and central terminal, and a posterior surface of 16 electrodes. 3 Studies have shown that the 80-lead BSM demonstrates

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“…4,5 One method of improving the diagnostic capability of ECG is to sample over a larger thoracic surface area, including the right ventricular, high left lateral, and posterior regions, a technique known as body surface mapping (BSM). [7][8][9] From the Regional Medical Cardiology Centre, Royal Victoria Hospital, Belfast, Ireland. [7][8][9] From the Regional Medical Cardiology Centre, Royal Victoria Hospital, Belfast, Ireland.…”

Section: Rationale For Body Surface Mapping In Acute Coronary Syndromesmentioning

confidence: 99%

“…9 Briefly, it comprises unique flexible plastic anterior and posterior electrode arrays and a digital recording unit ( Figure 1). 9 Briefly, it comprises unique flexible plastic anterior and posterior electrode arrays and a digital recording unit ( Figure 1).…”

Section: Body Surface Mapping Systemmentioning

confidence: 99%

Body Surface Mapping

Menown¹

2003

Critical Pathways in Cardiology: A Journal of Evidence-Based Me

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Recent advances in biomarkers have improved the evaluation of patients with acute chest pain, but current critical care pathways may still lead to important delays in early diagnosis and, hence, treatment of acute myocardial infarction (AMI). Electrocardiographic changes may occur within seconds of an ischemic insult, but the conventional 12-lead electrocardiogram (ECG) typically has only 50% to 60% sensitivity for diagnosis of AMI. Recording of multiple ECGs over a larger thoracic surface area, including the right ventricular, high left lateral, and posterior regions, by body surface mapping (BSM) has been made feasible in the setting of acute coronary syndromes by novel developments in electrode technology and simultaneous multichannel ECG data acquisition. Clinical studies of an Food and Drug Adminstration-approved BSM system (PRIME-ECG) have demonstrated improved early diagnosis of AMI in patients without 12-lead ST elevation and improved detection of right ventricular or posterior involvement in ST elevation MI. The improved diagnostic sensitivity compared with the conventional 12-lead ECG coupled with the potential reduction of delay to diagnosis compared with biomarkers suggest that BSM may have an important role as part of a chest pain critical care pathway for evaluation of patients with ischemic type chest pain.

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Time to body surface map acquisition compared with ED 12-lead and right-sided ECG

Cited by 6 publications

References 20 publications

Body Surface Mapping Improves Diagnosis of Acute Myocardial Infarction in the Emergency Department

Body Surface Mapping Improves Diagnosis of Acute Myocardial Infarction in the Emergency Department

Comparative Analysis Using the 80-Lead Body Surface Map and 12-Lead ECG With Exercise Stress Echocardiograms

Body Surface Mapping

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