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.

Journal Article (Journal Article)

The proposed recommendations for continuous electrocardiographic monitoring systems represent goals for future development. Description of a technique in the report does not constitute an endorsement of its clinical use. Lead systems for ECG monitoring must adequately sense the cardiac electrical field and the leads should be standardized. Future monitors should be capable of simultaneously displaying and analyzing multiple leads. Recommendations for electrode placement and position of patient are made. Important parameters in each category of standards for instrumentation published in 1983 in the American National Standard for Cardiac Monitors, Heart Rate Meters, and Alarms are listed. Selected procedures proposed by the Association for the Advancement of Medical Instrumentation to inform users of minimally acceptable accuracy of computerized systems in a standardized manner are presented. Emphasis is placed on the importance of nursing and medical staff capabilities. Personnel qualifications and training as well as systems to assure and maintain quality of immediate ECG diagnosis are highlighted.

Full Text

Duke Authors

Cited Authors

  • Mirvis, DM; Berson, AS; Goldberger, AL; Green, LS; Heger, JJ; Hinohara, T; Insel, J; Krucoff, MW; Moncrief, A; Selvester, RH

Published Date

  • February 1989

Published In

Volume / Issue

  • 79 / 2

Start / End Page

  • 464 - 471

PubMed ID

  • 2644056

International Standard Serial Number (ISSN)

  • 0009-7322

Digital Object Identifier (DOI)

  • 10.1161/01.cir.79.2.464


  • eng

Conference Location

  • United States