Please use this identifier to cite or link to this item: http://hdl.handle.net/11718/25395
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dc.contributor.authorGurunath P.
dc.contributor.authorChinmay P.
dc.contributor.authorHrishikesh P.
dc.contributor.authorVaijayanti G.
dc.contributor.authorSharada K.
dc.contributor.authorPratap R.
dc.contributor.authorWasim B.
dc.contributor.authorGopi P.
dc.contributor.authorRajeev S.
dc.contributor.authorYash L.
dc.date.accessioned2022-02-11T10:16:46Z-
dc.date.available2022-02-11T10:16:46Z-
dc.date.issued2021
dc.identifier.citationGurunath, P., Chinmay, P., Hrishikesh, P., Vaijayanti, G., Sharada, K., Pratap, R., Wasim, B., Gopi, P., Rajeev, S., & Yash, L. (2021). Assessment of a widely applicable torso ECG in acute coronary syndrome. Indian Heart Journal, 73(4). https://doi.org/10.1016/j.ihj.2021.03.007
dc.identifier.issn194832
dc.identifier.urihttps://www.doi.org/10.1016/j.ihj.2021.03.007
dc.identifier.urihttp://hdl.handle.net/11718/25395-
dc.description.abstractIntroduction: The time from symptom onset to arrival at healthcare facility, and door to reperfusion time in treatment of acute coronary syndrome (ACS) can be improved significantly if the patient or the relatives can record a 12-lead ECG at home and transmit it to the physician for prompt interpretation. To make this widely applicable, the 12-lead ECG recording device has to be simple and user friendly. In this regard, torso ECG (T-ECG) electrode positions that are less cumbersome than the conventional ECG (C-ECG) electrode positions are an alternative worthy of consideration. Objective: and setting: To study the utility of T-ECG versus C-ECG in ACS patients. Design: and intervention: We proposed torso electrode positions in which upper limb electrodes were placed in the respective deltopectoral grooves below the lateral end of the clavicle; the right lower limb electrode was placed 2 finger breadths above the umbilicus and the left lower limb electrode, 2 finger breadths to the left of the umbilicus. We then studied the ECGs recorded, to ascertain whether T-ECGs miss or over-diagnose ACS changes. Twelve lead ECGs were recorded by both techniques (C-ECG & T-ECG) in 1361 patientsfrom the coronary care unit & out-patient department of a tertiary care hospital. A total of 1526 sets of ECGs (each set consisting of one C-ECG and one T -ECG) were read by two trained cardiologists independently and in a blinded fashion. There were 457 ECG sets from 342 patients with ACS. Of these, 116 ECG sets from 112 patients of anterior infarction who had changes restricted to precordial leads were excluded. Finally, 341 ECG sets from 230 patients with ACS and 324 sets of patients diagnosed to be normal on C-ECG were considered for the purpose of this study. Main results: All 341 ECG sets from the 230 patients of ACS diagnosed by C-ECG were correctly diagnosed by T-ECG (100% sensitivity) and all 324 normal ECGs on C-ECG were also identified as normal on T-ECG (100% specificity). Of the ACS ECGs, ST elevation was seen in 234 ECGs and ST depressions 154 ECGs. The localizations of ST elevation and ST depression were also accurately diagnosed by the T-ECG. Conclusion: The ECG recorded by our novel proposed torso electrode positions is comparable to a conventional ECG for the diagnosis of ACS. � 2021 Cardiological Society of India
dc.language.isoen_US
dc.publisherElsevier B.V.
dc.relation.ispartofIndian Heart Journal
dc.subjectCardiac emergencies
dc.subjectElectrocardiography
dc.subjectMyocardial infarction
dc.subjectTorso
dc.titleAssessment of a widely applicable torso ECG in acute coronary syndrome
dc.typeArticle
dc.rights.licenseCC BY-NC-ND
dc.contributor.affiliationAshwini Cooperative Hospital, Ashwini Cooperative Hospital, R 10, 952 B, Adarsh Nagar SadarBazar, Solapur, 413003, India
dc.contributor.affiliationIIM Ahmedabad, India
dc.contributor.affiliationMahatma Medical College and Hospital, Jaipur, India
dc.contributor.affiliationLTMG Hospital, Sion, Mumbai, India
dc.contributor.institutionauthorGurunath, P., Ashwini Cooperative Hospital, Ashwini Cooperative Hospital, R 10, 952 B, Adarsh Nagar SadarBazar, Solapur, 413003, India
dc.contributor.institutionauthorChinmay, P., Ashwini Cooperative Hospital, Ashwini Cooperative Hospital, R 10, 952 B, Adarsh Nagar SadarBazar, Solapur, 413003, India
dc.contributor.institutionauthorHrishikesh, P., Ashwini Cooperative Hospital, Ashwini Cooperative Hospital, R 10, 952 B, Adarsh Nagar SadarBazar, Solapur, 413003, India
dc.contributor.institutionauthorVaijayanti, G., Ashwini Cooperative Hospital, Ashwini Cooperative Hospital, R 10, 952 B, Adarsh Nagar SadarBazar, Solapur, 413003, India
dc.contributor.institutionauthorSharada, K., Ashwini Cooperative Hospital, Ashwini Cooperative Hospital, R 10, 952 B, Adarsh Nagar SadarBazar, Solapur, 413003, India
dc.contributor.institutionauthorPratap, R., Ashwini Cooperative Hospital, Ashwini Cooperative Hospital, R 10, 952 B, Adarsh Nagar SadarBazar, Solapur, 413003, India
dc.contributor.institutionauthorWasim, B., Ashwini Cooperative Hospital, Ashwini Cooperative Hospital, R 10, 952 B, Adarsh Nagar SadarBazar, Solapur, 413003, India
dc.contributor.institutionauthorGopi, P., IIM Ahmedabad, India
dc.contributor.institutionauthorRajeev, S., Mahatma Medical College and Hospital, Jaipur, India
dc.contributor.institutionauthorYash, L., LTMG Hospital, Sion, Mumbai, India
dc.description.scopusid57222814846
dc.description.scopusid57222816592
dc.description.scopusid57222808367
dc.description.scopusid57222808239
dc.description.scopusid57222811839
dc.description.scopusid57222810366
dc.description.scopusid57222816006
dc.description.scopusid57222812480
dc.description.scopusid57222810168
dc.description.scopusid16417763300
dc.identifier.doi10.1016/j.ihj.2021.03.007
dc.identifier.endpage491
dc.identifier.startpage487
dc.identifier.issue4
dc.identifier.volume73
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