The DOI matches its Crossref record; 160 of the 161 references it cites were found in a registry or an index.
Practice Standards for Electrocardiographic Monitoring in Hospital Settings: An American Heart Association Scientific Statement From the Councils on Cardiovascular Nursing, Clinical Cardiology, and Cardiovascular Disease in the Young: Endorsed by the International Society of Computerized Electrocardiology and the American Association of Critical-Care Nurses
Abstract
The goals of electrocardiographic (ECG) monitoring in hospital settings have expanded from simple heart rate and basic rhythm determination to the diagnosis of complex arrhythmias, myocardial ischemia, and prolonged QT interval. Whereas computerized arrhythmia analysis is automatic in cardiac monitoring systems, computerized ST-segment ischemia analysis is available only in newer-generation monitors, and computerized QT-interval monitoring is currently unavailable. Even in hospitals with ST-monitoring capability, ischemia monitoring is vastly underutilized by healthcare professionals. Moreover, because no computerized analysis is available for QT monitoring, healthcare professionals must determine when it is appropriate to manually measure QT intervals (eg, when a patient is started on a potentially proarrhythmic drug). The purpose of the present review is to provide ‘best practices’ for hospital ECG monitoring. Randomized clinical trials in this area are almost nonexistent; therefore, expert opinions are based upon clinical experience and related research in the field of electrocardiography. This consensus document encompasses all areas of hospital cardiac monitoring in both children and adults. The emphasis is on information clinicians need to know to monitor patients safely and effectively. Recommendations are made with regard to indications, timeframes, and strategies to improve the diagnostic accuracy of cardiac arrhythmia, ischemia, and QT-interval monitoring. Currently available ECG lead systems are described, and recommendations related to staffing, training, and methods to improve quality are provided.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“However, the feasibility of continuous human monitoring of multiple screens is questionable and costly, pulling nurses away from direct patient care and education (Drew et al., 2004).”
From 2017 ISHNE-HRS expert consensus statement on ambulatory ECG and external cardiac monitoring/telemetry (2017) · cites this paper as Drew et al., 2004
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Drug-induced prolongation of the QT interval
Roden, D. M. (2004) · New England Journal of Medicine · doi:10.1056/nejmra032426 · Cited by 1,965
Eagle, K. A., Berger, P. B., Calkins, H. G., CHAITMAN, B. R., Ewy, G. A., Fleischmann, K. E., Fleisher, L. A., Froehlich, J. B., Gusberg, R. J., Leppo, J. A., et al. (2002) · Journal of the American College of Cardiology · doi:10.1016/s0735-1097(01)01788-0 · Cited by 1,674
An Accurate, Clinically Practical System For Spatial Vectorcardiography
Frank, E. (1956) · Circulation · doi:10.1161/01.cir.13.5.737 · Cited by 1,097
Hazards of postoperative atrial arrhythmias
Creswell, L. L., Schuessler, R. B., Rosenbloom, M., & Cox, J. L. (1993) · The Annals of Thoracic Surgery · doi:10.1016/0003-4975(93)90894-n · Cited by 995
Mangano, D. T., Browner, W. S., Hollenberg, M., London, M. J., Tubau, J. F., & Tateo, I. M. (1990) · New England Journal of Medicine · doi:10.1056/nejm199012273232601 · Cited by 986
AN ANALYSIS OF THE TIME‐RELATIONS OF ELECTROCARDIOGRAMS.
Bazett, H. C. (1997) · Annals of Noninvasive Electrocardiology · doi:10.1111/j.1542-474x.1997.tb00325.x · Cited by 817
Silent Ischemia as a Marker for Early Unfavorable Outcomes in Patients with Unstable Angina
Gottlieb, S. O., Weisfeldt, M. L., Ouyang, P., Mellits, E. D., & Gerstenblith, G. (1986) · New England Journal of Medicine · doi:10.1056/nejm198605083141903 · Cited by 673
What Clinicians Should Know About the QT Interval
Al‐Khatib, S. M., LaPointe, N. M. A., Kramer, J. M., & Califf, R. M. (2003) · JAMA · doi:10.1001/jama.289.16.2120 · Cited by 671
Self-citationNormal ECG standards for infants and children
Davignon, A., Rautaharju, P. M., Boisselle, E., Soumis, F., Mégélas, M., & Choquette, A. (1980) · Pediatric Cardiology · doi:10.1007/bf02083144 · Cited by 553
Wellens, H. J. J., Bär, F. W. H. M., & Lie, K. I. (1978) · The American Journal of Medicine · doi:10.1016/0002-9343(78)90176-6 · Cited by 538
Research works printed but not linked: 22
- 1963, Lancet, 83, 53
- 10.1161/circ.62.1.7379272 · DOI
- 10.1161/circ.79.2.2644056 · DOI
- 10.1161/circ.99.7.903 · DOI
- Silka MJ. Junctional ectopic tachycardia and perioperative arrhythmias. In: Balaji S Paul C. Gillete PC Case CL eds. Cardiac Arrhythmias After Surgery for Congenital Disease. London England: Arnold Publishers; 2001: 154–164.
- 10.1161/circ.92.1.59 · DOI
- 1999, Acta Cardiol, 54, 339
- 2002, Can J Cardiol, 18, 380
- 2001, Ann R Coll Surg Engl, 83, 174
- 2003, Eur Heart J, 24, 182
- 10.1161/circ.80.3.2527641 · DOI
- 10.1161/circ.98.24.2656 · DOI
- 1997, Crit Care Nurse, 17, 81
- 1994, Primary Cardiol, 20, 23
- 1920, Heart, 7, 353
- 2002, Circulation, 106, II
- 2003, Circulation, 108, IV–362.
- 10.1161/circ.13.5.737 · DOI
- 1996, Crit Care Nurse, 16, 102
- 1991, Heart Lung, 20, 597
- 1991, Heart Lung, 20, 27
- 1989, Heart Lung, 18, 456
Cited by
Sorted by citations
Roffi, M., Patrono, C., Collet, J.-P., Mueller, C., Valgimigli, M., Andreotti, F., Bax, J. J., Borger, M. A., Brotons, C., Chew, D. P., et al. (2016) · European Heart Journal · doi:10.1093/eurheartj/ehv320 · Cited by 8,261
The Internet of Things for Health Care: A Comprehensive Survey
Islam, S. M. R., Kwak, D., Kabir, M. H., Hossain, M., & Kwak, K.-S. (2015) · IEEE Access · doi:10.1109/access.2015.2437951 · Cited by 3,199
Mitchell, C., Rahko, P. S., Blauwet, L. A., Canaday, B., Finstuen, J. A., Foster, M., Horton, K. D., Ogunyankin, K. O., Palma, R. A., & Velazquez, E. J. (2018) · Journal of the American Society of Echocardiography · doi:10.1016/j.echo.2018.06.004 · Cited by 2,628
Trung, T. Q., & Lee, N. (2016) · Advanced Materials · doi:10.1002/adma.201504244 · Cited by 2,160
Drew, B. J., Ackerman, M. J., Funk, M., Gibler, W. B., Kligfield, P., Menon, V., Philippides, G. J., Roden, D. M., & Zareba, W. (2010) · Circulation · doi:10.1161/circulationaha.109.192704 · Cited by 821
Self-citation
Metadata
- Authors
- Drew, B. J., Califf, R. M., Funk, M., Kaufman, E. S., Krucoff, M. W., Laks, M. M., Macfarlane, P. W., Sommargren, C., Swiryn, S., & Van Hare, G. F.
- Venue
- Circulation
- Published
- 2004-10-26
- Volume
- 110
- Issue
- 17
- Pages
- 2721-2746
- ISSN
- 0009-7322 (ISSN-L)
- 1524-4539
- OpenAlex
- W2768866949
- Cited by
- 609
- References
- 161
- Citations by year
- 2026: 26 · 2025: 23 · 2024: 20 · 2023: 24 · 2022: 25 · 2021: 30 · 2020: 27 · 2019: 27 · 2018: 25 · 2017: 36 · 2016: 43 · 2015: 45 · 2014: 36 · 2013: 41 · 2012: 23
- FWCI
- 12.66
- Type
- journal article
- Language
- en
- Update notices
- correction (2005-01-25)
- Open access
- closed
- Locations
- Circulation (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › ECG Monitoring and Analysis
- Health Sciences › Medicine › Surgery › Healthcare Technology and Patient Monitoring
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Keywords
- ECG monitoring, arrhythmia detection, QT interval monitoring, myocardial ischemia, QT prolongation, computerized ECG analysis, ECG lead systems, quality improvement, proarrhythmic drugs
- MeSH terms
- Workforce, Arrhythmias, Cardiac, Cardiology, Electrocardiography, Electrodes, Hospitalization, Humans, Long QT Syndrome, Monitoring, Physiologic, Myocardial Ischemia
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
