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Comparison of Standard and Derived 12-Lead Electrocardiograms Registrated by a Simplified 3-Lead Setting with Four Electrodes for Diagnosis of Coronary Angioplasty-induced Myocardial Ischaemia

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Keywords

Electrocardiograms (ECGs), myocardial infarction, patient monitoring, EASI lead ECG, percutaneous transluminal coronary angioplasty, four electrodes set 12-lead ECG, 12-lead ECG, cardiovascular patients,

Disclosure:Eckart Fleck serves on the advisory board for Schwarzer. The remaining authors have no conflicts of interest to declare.

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DOI:https://doi.org/10.15420/ecr.2012.8.3.179

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Electrocardiograms (ECGs), derived by the transformation of three bipolar quasi-orthogonal leads, have according to EASI lead ECG been introduced for many years for use in emergency situations and for the monitoring of patients during the acute phase of myocardial infarction. Theoretically, a further reduction and simplification of the classic EASI setting of five electrodes may even improve acceptance of the derived 12-lead ECG in these critical situations, especially in the telemedical use and for monitoring of cardiovascular patients. The objective of the present study was to evaluate the comparability of the 12-lead ECG derived by a system that reduces the classic EASI setting from five to four electrodes with the standard 12-lead ECG in the detection of acute myocardial ischaemia induced during percutaneous transluminal coronary angioplasty (PTCA).

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