Electrocardiography Pitfalls and Artifacts: The 10 Commandments

Adrian Baranchuk; Catherine Shaw; Haitham Alanazi; Debra Campbell; Kathy Bally; Damian P. Redfearn; Christopher S. Simpson; Hoshiar Abdollah

doi:10.4037/ccn2009607

journal article Feb 01, 2009

Electrocardiography Pitfalls and Artifacts: The 10 Commandments

Adrian Baranchuk

Catherine Shaw Haitham Alanazi Debra Campbell Kathy Bally Damian P. Redfearn Christopher S. Simpson Hoshiar Abdollah

Critical Care Nurse Vol. 29 No. 1 pp. 67-73 · AACN Publishing

View at Publisher Save 10.4037/ccn2009607

Topics

No keywords indexed for this article. Browse by subject →

References

27

[1]

Chase C , Brady WJ. Artifactual electrocardiographic change mimicking clinical abnormality on the ECG. Am J Emerg Med. 2000;18(3):312–316. 10.1016/s0735-6757(00)90126-8

[2]

Srikureja W , Darbar D, Reeder GS. Tremor-induced ECG artifact mimicking ventricular tachycardia. Circulation. 2000;102(11): 1337–1338. 10.1161/01.cir.102.11.1337

[3]

Rudiger A , Schöb L, Follath F. Influence of electrode misplacement on the electrocardiographic signs of inferior myocardial ischemia. Am J Emerg Med. 2003;21(7):574–577. 10.1016/j.ajem.2003.08.007

[4]

Rudiger A , Hellermann JP, Mukherjee R, et al. Electrocardiographic artifacts due to electrode misplacement and their frequency in different clinical settings. Am J Emerg Med. 2007;25(2):174–178. 10.1016/j.ajem.2006.06.018

[5]

Drew BJ . Pitfalls and artifacts in electrocardiography. Cardiol Clin. 2006;24(3):309–315. 10.1016/j.ccl.2006.04.006

[6]

Knight BP , Pelosi F, Michaud GF, Strickberger SA, Morady F. Physician interpretation of electrocardiographic artifact that mimics ventricular tachycardia. Am J Med. 2001;110(5):335–338. 10.1016/s0002-9343(01)00627-1

[7]

Knight BP , Pelosi F, Michaud GF, Strickberger SA, Morady F. Clinical consequences of electrocardiographic artifact mimicking ventricular tachycardia. N Engl J Med. 1999; 341(17):1270–1274. 10.1056/nejm199910213411704

[8]

Huang CY , Shan DE, Lai CH, et al. An accurate electrocardiographic algorithm for differentiation of tremor-induced pseudo-ventricular tachycardia and true ventricular tachycardia. Int J Cardiol. 2006;111(1): 163–165. 10.1016/j.ijcard.2005.06.017

[9]

Abdollah H , Milliken JA. Recognition of electrocardiographic left arm/left leg lead reversal. Am J Cardiol. 1997;80(9):1247–1249. 10.1016/s0002-9149(97)00656-5

[10]

Wenger W , Kligfield P. Variability of precordial electrode placement during routine electrocardiography. J Electrocardiol. 1996; 29(3):179–184. 10.1016/s0022-0736(96)80080-x

[11]

Peberdy MA , Ornato JP. Recognition of electrocardiographic lead misplacements. Am J Emerg Med. 1993;11(4):403–405. 10.1016/0735-6757(93)90177-d

[12]

Marafioti V , Variola A. Pseudoinfarction pattern by misplacement of electrocardiographic precordial leads. Am J Emerg Med. 2004;22(1):62–63. 10.1016/j.ajem.2003.09.014

[13]

Hurst JW . “Switched” precordial leads. Circulation. 2000;101(24):2870–2871. 10.1161/01.cir.101.24.2870

[14]

Llinas R , Henderson VH. Tremor as a cause of pseudo-ventricular tachycardia. N Engl J Med. 1999;341:1275. 10.1056/nejm199910213411705

[15]

Bhatia L , Turner DR. Parkinson’s tremor mimicking ventricular tachycardia. Age Ageing. 2005;34(4):410–411. 10.1093/ageing/afi097

[16]

Ortega-Carnicer J . Tremor-related artifact mimicking ventricular tachycardia. Resuscitation. 2005;65(3):243–244. 10.1016/j.resuscitation.2005.02.013

[17]

Finsterer J , Stollberger C, Gatterer E. Oral anticoagulation for ECG tremor artifact simulating atrial fibrillation. Acta Cardiol. 2003; 58(5):425–429. 10.2143/ac.58.5.2005308

[18]

Morrissey JJ , Swicord M, Balzano Q. Characterization of electromagnetic interference of medical devices in the hospital due to cell phones. Health Phys. 2002;82(1):45–51. 10.1097/00004032-200201000-00006

[19]

Lawrentschuk N , Bolton DM. Mobile phone interference with medical equipment and its clinical relevance: a systematic review. Med J Aust. 2004;181(3):145–149. 10.5694/j.1326-5377.2004.tb06205.x

[20]

Baranchuk A , Kang J, Shaw C, et al. Electromagnetic interference of communication devices on ECG machines. Clin Cardiol. In press.

[21]

Klein AA , Djaiani GN. Mobile phones in the hospital—past, present and future. Anaesthesia. 2003;58(4):353–357. 10.1046/j.1365-2044.2003.03079.x

[22]

Takuma K , Hori S, Sasaki J, et al. An alternative limb lead system for electrocardiographs in emergency patients. Am J Emerg Med. 1995;13(5):514–517. 10.1016/0735-6757(95)90160-4

[23]

Jowett NI , Turner AM, Cole A, Jones PA. Modified electrode placement must be recorded when performing 12-lead electrocardiograms. Postgrad Med J. 2005;81(952):122–125. 10.1136/pgmj.2004.021204

[24]

Kligfield P , Gettes LS, Baileiy JJ, et al. Recommendations for the standardization and interpretation of the electrocardiogram, I: the electrocardiogram and its technology. Circulation. 2007;115(10):1306–1324. 10.1161/circulationaha.106.180200

[25]

Mirvis DM , Berson AS, Goldberger AL, et al. Instrumentation and practice standards for electrocardiographic monitoring in special care units. A Report for Health Professionals by a Task Force of the Council on Clinical Cardiology, American Heart Association. Circulation. 1989;79(2):464–471. 10.1161/01.cir.79.2.464

[26]

Nelwan SP , Meij SH, van Dam TB, Kors JA. Correction of ECG variations caused by body position changes and electrode placement during ST-T monitoring. J Electrocardiol. 2001;34(suppl):213–216. 10.1054/jelc.2001.28895

[27]

Madias JE . Comparability of the standing and supine standard electrocardiograms and standing sitting and supine stress electrocardiograms. J Electrocardiol. 2006;39(2):142–149. 10.1016/j.jelectrocard.2005.07.006

Metrics

43

Citations

27

References

Details

Published: Feb 01, 2009
Vol/Issue: 29(1)
Pages: 67-73

Authors

A

Adrian Baranchuk