Cardiac monitoring

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  • The phrase cardiac monitoring generally refers to continuous electrocardiography with assessment of the patients condition relative to their cardiac rhythm.
  • It is different from hemodynamic monitoring which monitors the pressure and flow of blood within the circulatory system. The two may be performed simultaneously on critical heart patients.
  • A small monitor worn by an ambulatory patient is known as a Holter monitor
  • Transmitting data from a monitor to a distant monitoring station is known as Telemetry or Biotelemetry

Emergency Medical Services

Ambulance services and other emergency medical services providers utilize heart monitors to assess the patient's cardiac rhythm. Providers licensed or certified at the Intermediate or Paramedic level are qualified to interpret EKGs. The finding of a cardiac dysrhythmia (or for that matter, a normal sinus rhythm) may give additional information about the patients condition or may be a sufficient diagnosis on its own to guide treatment. Treatment for specific cardiac rhythms is guided by ACLS. Basic EMTs are allowed to apply the electrodes and physically operate the monitor but not interpret the rhythm. The most common monitors used in the United States are made by Philips Healthcare (Heartstart Series) Physio-Control (Lifepak series) and ZOLL (E and M series), but other brands exist.


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Acknowledgement and Attribution Regarding Sources of Content

Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .

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