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Erschienen in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie 4/2017

11.01.2017 | Case Reports / Case Series

Postoperative real-time electrocardiography monitoring detects myocardial ischemia: a case report

verfasst von: Homer Yang, MD, Ashraf Fayad, MD, Alan Chaput, MD, Stuart Oake, MD, Adrian D. C. Chan, PhD, Mary Lou Crossan, BA

Erschienen in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie | Ausgabe 4/2017

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Abstract

Purpose

This case report outlines the utility and challenges of remote continuous postoperative electrocardiography ECG) monitoring, which is routed through a secure smartphone to provide real-time detection and management of myocardial ischemia.

Clinical features

A 42-yr-old male with previous myocardial infarction and angioplasty underwent a radical prostatectomy. At three hours and 45 min postoperatively, remote real-time ECG monitoring was initiated upon the patient’s arrival on a regular surgical ward. Monitor alerts were routed to a study clinician’s smartphone. About six hours postoperatively, alarms were received and horizontal ST segment depressions were observed. A 12-lead ECG validated the ST segment changes, prompting initiation of a metoprolol iv and a red blood cell transfusion. Approximately seven hours and 30 min postoperatively, the ST segments normalized. The patient was discharged on postoperative day 3 and followed for four years without any sequelae.

Conclusion

This case report illustrates the use of remote ECG monitoring and clinician response in real time with the use of a smartphone. With each alert, a small ECG strip is transmitted to the smartphone for viewing. In our view, this technology and management system provides a possible means to interrupt myocardial ischemic cascades in real time and prevent postoperative myocardial infarction.
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Metadaten
Titel
Postoperative real-time electrocardiography monitoring detects myocardial ischemia: a case report
verfasst von
Homer Yang, MD
Ashraf Fayad, MD
Alan Chaput, MD
Stuart Oake, MD
Adrian D. C. Chan, PhD
Mary Lou Crossan, BA
Publikationsdatum
11.01.2017
Verlag
Springer US
Erschienen in
Canadian Journal of Anesthesia/Journal canadien d'anesthésie / Ausgabe 4/2017
Print ISSN: 0832-610X
Elektronische ISSN: 1496-8975
DOI
https://doi.org/10.1007/s12630-017-0817-0

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