@Article{RSM:Ada2003,
  author =       "M.G. Adams-Hamoda and M.A. Caldwell and N.A. Stotts
                 and B.J. Drew",
  title =        "Factors to consider when analyzing 12-lead
                 electrocardiograms for evidence of acute myocardial
                 ischemia.",
  journal =      "Am J Crit Care",
  year =         "2003",
  month =        jan,
  volume =       "12",
  number =       "1",
  pages =        "9--16; quiz 17--8",
  robnote =      "An important factor to consider when using findings on
                 electrocardiograms for clinical decision making is that
                 the waveforms are influenced by normal physiological
                 and technical factors as well as by pathophysiological
                 factors. Traditionally, the focus of bedside monitoring
                 is detection of arrhythmia. However, continuous
                 ST-segment monitoring for the detection of myocardial
                 ischemia is now readily available. Many factors affect
                 electrocardiographic waveforms and may interfere with
                 diagnosis of myocardial ischemia based on
                 electrocardiographic findings. Accordingly, a principal
                 leadership role for clinical nurse specialists and
                 nurse practitioners is to become knowledgeable about
                 interpretation of 12-lead electrocardiograms and to
                 share this knowledge with staff nurses who care for
                 patients with acute coronary syndromes. The factors
                 that alter electrocardiographic findings are reviewed,
                 and the alterations that interfere with
                 electrocardiogram-based diagnosis of myocardial
                 ischemia are discussed.",
  bibdate =      "Sat Mar 8 12:59:53 2008",
}

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