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|Title: ||ECG dispersion mapping predicts clinical deterioration, measured by increase in the Simple Clinical Score.|
|Affiliation: ||Department of Medicine, Nenagh Hospital, Nenagh, County Tipperary, Ireland. email@example.com|
|Citation: ||ECG dispersion mapping predicts clinical deterioration, measured by increase in the Simple Clinical Score. 2012, 11 (1):8-12 Acute Med|
|Journal: ||Acute medicine|
|Issue Date: ||2012 |
|PubMed ID: ||22423340|
|Abstract: ||Objective: ECG dispersion mapping (ECG-DM) is a novel technique that reports abnormal ECG microalternations. We report the ability of ECG-DM to predict clinical deterioration of acutely ill medical patients, as measured by an increase in the Simple Clinical Score (SCS) the day after admission to hospital. Methods: 453 acutely ill medical patients (mean age 69.7 +/- 14.0 years) had the SCS recorded and ECGDM performed immediately after admission to hospital. Results: 46 patients had an SCS increase 20.8 +/- 7.6 hours after admission. Abnormal micro-alternations during left ventricular re-polarization had the highest association with SCS increase (p=0.0005). Logistic regression showed that only nursing home residence and abnormal micro-alternations during re-polarization of the left ventricle were independent predictors of SCS increase with an odds ratio of 2.84 and 3.01, respectively. Conclusion: ECG-DM changes during left ventricular re-polarization are independent predictors of clinical deterioration the day after hospital admission.|
Aged, 80 and over
Body Surface Potential Mapping
Emergency Service, Hospital
Predictive Value of Tests
Sensitivity and Specificity
|Appears in Collections: ||Nenagh General Hospital|
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