Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Does in-patient ECG monitoring have an impact on medical care in chronic heart failure patients?
Autore:
Opasich, C; Capomolla, S; Riccardi, PG; Febo, O; Forni, G; Cobelli, F; Tavazzi, L;
Indirizzi:
S Maugeri Fdn, Inst Care & Sci Res, Dept Cardiol, Pavia, Italy S Maugeri Fdn Pavia Italy st Care & Sci Res, Dept Cardiol, Pavia, Italy S Maugeri Fdn, Inst Care & Res, Heart Failure Unit, Montescano, PV, Italy S Maugeri Fdn Montescano PV Italy rt Failure Unit, Montescano, PV, Italy Policlin San Matteo, Inst Care & Sci Res, Dept Cardiol, Pavia, Italy Policlin San Matteo Pavia Italy e & Sci Res, Dept Cardiol, Pavia, Italy
Titolo Testata:
EUROPEAN JOURNAL OF HEART FAILURE
fascicolo: 3, volume: 2, anno: 2000,
pagine: 281 - 285
SICI:
1388-9842(200009)2:3<281:DIEMHA>2.0.ZU;2-4
Fonte:
ISI
Lingua:
ENG
Soggetto:
TELEMETRY; UNIT;
Keywords:
heart failure; telemetry; non-intensive care unit;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
8
Recensione:
Indirizzi per estratti:
Indirizzo: Opasich, C S Maugeri Fdn, Inst Care & Sci Res, Dept Cardiol, Pavia, Italy S Maugeri Fdn Pavia Italy ci Res, Dept Cardiol, Pavia, Italy
Citazione:
C. Opasich et al., "Does in-patient ECG monitoring have an impact on medical care in chronic heart failure patients?", EUR J HE FA, 2(3), 2000, pp. 281-285

Abstract

Background: Heart failure patients' management in non-intensive care unitsmight be improved by telemetry monitoring. However, telemetry adds the cost and evidence of this effectiveness is not available. Aim: To evaluate theutility of the ECG monitoring in chronic heart failure patients admitted to a non-intensive care unit. Methods: A prospective analysis of the utilityof telemetry in 711 patients admitted to a Heart Failure Unit from March 1996 to September 1997. Results: One hundred and ninety-nine patients underwent telemetry; 108 telemetry findings were recorded, in 35% of NYHA class II, in 46% in NYHA class III-IV and 43% in unstable patients, Reasons for telemetry were: known arrhythmia (n = 82), electrolytes disturbances (n = 20), atrial fibrillation (n = 12), symptoms (n = 48), i.v. dobutamine (n = 13), drugs control (n = 16), devices control (ra = 8). Crossing reasons for telemetry and detected events we had, respectively, 63, 11, 2, 17, 5, 6, and 0 telemetry findings. Treatment was guided by telemetry results in only 33 cases (respectively in 18, 0, 4, 5, 5, 1, and 0 cases). Physicians perceived telemetry as unhelpful in 30% of cases; as helpful in 70%. The percentageof inutility, usefulness with and without related medical intervention were similar between stable and unstable patients (30, 18, 51% and 31, 15, 54%, respectively). Conclusion: In a heart failure unit ECG monitoring is mostly used in severe and unstable patients. However, medical decisions are rarely guided by the telemetry findings. The usefulness of telemetry might be underestimated because one of the uncounted results might be the avoidance of inappropriate intervention. (C) 2000 European Society of Cardiology. Allrights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 08/07/20 alle ore 01:17:44