Intravenous electrocardiographic guidance for placement of peripherally inserted central catheters.

Abstract:

BACKGROUND:Correct positioning of peripherally inserted central catheters (PICCs) is essential to avoid complications. We evaluated intravenous electrocardiogram (ECG) recordings during PICC placement to assess the effectiveness of this guidance technique to reduce complications resulting from incorrect catheter placement. METHODS:Six patients undergoing PowerPICC catheter insertion were included in this pilot study. Venography through the PICC was performed to identify the superior vena cava-right atrial (SVC-RA) junction. Unipolar ECG recordings from the catheter stylet measured P-wave changes during PICC insertion. RESULTS:The peak P-wave amplitude was highest at the SVC-RA junction. With catheter insertion into the RA, P-wave amplitude decreased and eventually became negative. With catheter withdrawal into the SVC, P-wave amplitude decreased. CONCLUSIONS:P-wave amplitude was highest when the PICC catheter was in the optimal location at the SVC-RA junction. Intravenous ECG monitoring during PICC insertion seems to be a promising technique to guide catheter positioning.

journal_name

J Electrocardiol

authors

Smith B,Neuharth RM,Hendrix MA,McDonnall D,Michaels AD

doi

10.1016/j.jelectrocard.2010.02.003

subject

Has Abstract

pub_date

2010-05-01 00:00:00

pages

274-8

issue

3

eissn

0022-0736

issn

1532-8430

pii

S0022-0736(10)00085-3

journal_volume

43

pub_type

杂志文章
  • Inferior Q waves in apparently healthy subjects: Should we take a deep breath? An electrocardiographic, echocardiographic and cardiac magnetic resonance study.

    abstract:AIM:To evaluate the diagnostic accuracy of electrocardiographic inferior Q waves persistence during inspiration and echocardiographic segmental wall motion abnormalities for the detection of previously unsuspected silent myocardial infarction, by using cardiac magnetic resonance as the gold standard. METHODS:We prospe...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/j.jelectrocard.2015.08.026

    authors: Nanni S,Lovato L,Vagnarelli F,Ghetti G,Ferlito M,Pasquale F,Russo V,Zompatori M,Bacchi Reggiani L,Semprini F,Taglieri N,Melandri G,Rapezzi C

    更新日期:2016-01-01 00:00:00

  • Supernormal conduction in a case of Mobitz type II atrioventricular block.

    abstract::A 52-year-old woman exhibited Mobitz type II atrioventricular block with right bundle branch block and 1:1 atrioventricular conduction at or slower than 80 beats/min. Electrophysiologic study revealed transient HV interval block followed by recovery from the block at shorter coupling intervals without prolongation of ...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/s0022-0736(98)90009-7

    authors: Ayusawa M,Sakurada H,Hiyoshi Y,Sumitomo N,Okazaki H,Motomiya T,Sugiura M,Hiraoka M

    更新日期:1998-01-01 00:00:00

  • Computing and visualizing electric potentials and current pathways in the thorax.

    abstract::The long-term goal of electrocardiography is to relate electric potentials on the body surface with activities in the heart. Many previously reported studies have focused on direct links between heart and body surface potentials. The goals of this study were first to validate computational methods of determining volum...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1054/jelc.2000.20309

    authors: Ni Q,MacLeod RS,Punske BB,Taccardi B

    更新日期:2000-01-01 00:00:00

  • Computer analysis of the spatial angular parameters of the canine QRSsE loop from necropsy-verified normal dogs.

    abstract::Vectorcardiograms were recorded by the canine modification of the axial lead system of McFee and Parungao from 38 necropsy-verified normal dogs placed in the recommended position of right lateral recumbency. A digital computer program was used to identify and analyze the spatial characteristics of the QRSsE loop. In o...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/s0022-0736(83)80004-1

    authors: Musselman EE

    更新日期:1983-07-01 00:00:00

  • The effect of phentolamine on intra-Hisian conduction.

    abstract::A His bundle electrogram was obtained in a 70 year old male with syncopal episodes. A split bundle of His deflection was recorded. After the intravenous administration of phentolamine, a marked shortening of the H-H' interval was observed. This signifies an improvement in conduction at the bundle of His level. ...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/s0022-0736(78)80147-2

    authors: Gould L,Reddy CV,Oh KC,Kim SG,Becker W

    更新日期:1978-10-01 00:00:00

  • Time-domain and frequency-domain analyses of the signal-averaged ECG in patients with sustained ventricular tachyarrhythmia and nonischemic heart diseases.

    abstract::Signal-averaged electrocardiogram (ECG) variables were analyzed in 81 patients with ventricular tachyarrhythmia and nonischemic heart disease using the ART LVP 101 EPX system (Austin, TX): 15 ventricular tachycardia patients with arrhythmogenic right ventricular dysplasia (ARVD), 7 ventricular tachycardia patients wit...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/s0022-0736(94)80091-x

    authors: Aihara N,Ohe T,Shimomura K

    更新日期:1994-01-01 00:00:00

  • Detection of myocardial ischemia due to clinically asymptomatic coronary artery stenosis at rest using supervised artificial intelligence-enabled vectorcardiography - A five-fold cross validation of accuracy.

    abstract:BACKGROUND:Coronary artery disease (CAD) is a leading cause of death and disability. Conventional non-invasive diagnostic modalities for the detection of stable CAD at rest are subject to significant limitations: low sensitivity, and personal expertise. We aimed to develop a reliable and time-cost efficient screening t...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/j.jelectrocard.2019.12.018

    authors: Braun T,Spiliopoulos S,Veltman C,Hergesell V,Passow A,Tenderich G,Borggrefe M,Koerner MM

    更新日期:2020-01-01 00:00:00

  • The electrocardiographic image surface revisited.

    abstract::An image torso may be viewed as a one-to-one transform of a physical volume conductor to a geometric form which defines both the axis and sensitivity of any electrocardiographic connection. In this report, the image surfaces of laminar, spherical, rectangular and humanoid physical torsos are explored theoretically and...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/s0022-0736(77)80037-x

    authors: Brody DA,Mirvis DM,Keller FW,Cox JW,Ideker RE

    更新日期:1977-01-01 00:00:00

  • Onset dynamics of reentrant tachycardia and rate-dependent conduction changes in canine ventricular muscle: effects of Na+ and Ca2+ channel blockade.

    abstract::To show that cycle-length (CL) prolongation occurring at the onset of reentrant tachycardias may be associated with an increase in conduction time (CT), and to investigate the involvement of Na+ and Ca2+ channel activity, reentrant activity was induced by programmed stimulation in thin ventricular muscle slices with a...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1054/jelc.2000.18107

    authors: Lemarbre F,Vinet A,Vermeulen M,Cardinal R

    更新日期:2000-10-01 00:00:00

  • The reliability of pacemaker electrode-leads.

    abstract::Extensive experience has been obtained with Medtronic pacemakers, in Glasgow where over 400 patients have received their primary implant. In this review, which covers a period of seven and a half years ending December 31, 1973, the technical reliability of electrode-leads is considered in terms of failed implant lifet...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/s0022-0736(75)80030-6

    authors: Green GD

    更新日期:1975-01-01 00:00:00

  • Epicardial ablation of right pulmonary artery ganglionated plexi for the prevention of atrial fibrillation originating in the pulmonary veins.

    abstract:UNLABELLED:PROBLEM PRESENTED: A novel study of catheter ablation of the right pulmonary artery ganglionated plexi (RPA GP) to reduce atrial fibrillation (AF) originating in the pulmonary veins (PVs) is presented. STUDIES UNDERTAKEN:In 20 dogs, atrial effective refractory periods (AERPs), PVERP, and the dispersion of A...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/j.jelectrocard.2010.03.007

    authors: Wang H,Li J,Hong C,Liu X,Shang F,He Y,Wang Z,Zheng Q

    更新日期:2010-07-01 00:00:00

  • Importance of hepatitis C coinfection in the development of QT prolongation in HIV-infected patients.

    abstract:BACKGROUND:Case reports and unblinded studies suggest that human immunodeficiency virus (HIV) disease is associated with QT prolongation and torsade de pointes ventricular tachycardia. Hepatitis C coinfection is common in patients with HIV disease, and cirrhosis is also associated with QT prolongation. We therefore und...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/j.jelectrocard.2005.09.001

    authors: Nordin C,Kohli A,Beca S,Zaharia V,Grant T,Leider J,Marantz P

    更新日期:2006-04-01 00:00:00

  • Precision and reproducibility of non-automatic measurement of the QRS complex in potential candidates for cardiac resynchronization therapy.

    abstract:BACKGROUND:Accurate measurement of QRS complex duration (QRSd) remains crucial for the selection of patients for cardiac resynchronization therapy (CRT). However, assessment of QRSd on conventional surface electrocardiograms (ECG), especially when performed without computer assistance, may be challenging due to the lim...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/j.jelectrocard.2019.08.011

    authors: Caro-Codón J,Rey JR,Díaz Cruz J,Martínez Marín LA,García de Veas Marquéz JM,Castrejón S,Martínez Cossiani M,Rodríguez Sotelo L,López-Sendón JL,Merino JL

    更新日期:2019-01-01 00:00:00

  • Correlation of ST-segment "hump sign" during exercise testing with impaired diastolic function of the left ventricle.

    abstract:BACKGROUND:The appearance of a discrete upward deflection of the ST segment, termed the ST hump sign during exercise testing has been associated with resting hypertension and exaggerated blood pressure response to exercise. OBJECTIVE:We investigated the correlation between the presence of hump sign during exercise tes...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/j.jelectrocard.2009.09.001

    authors: Michaelides AP,Raftopoulos LG,Aggeli C,Liakos C,Antoniades C,Fourlas C,Stamatopoulos E,Ioakeimides N,Soulis D,Stefanadis C

    更新日期:2010-03-01 00:00:00

  • Racial differences in sudden cardiac death.

    abstract::There is an increased risk of sudden cardiac death (SCD) and sudden cardiac arrest (SCA), in African Americans, the basis of which is likely multifactorial. African Americans have higher rates of traditional cardiac risk factors including hypertension, left ventricular hypertrophy, diabetes, coronary heart disease, an...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/j.jelectrocard.2014.07.023

    authors: Fender EA,Henrikson CA,Tereshchenko L

    更新日期:2014-11-01 00:00:00

  • Diagnostic value of electrocardiogram and vectorcardiogram in postinfarction ventricular asynergy.

    abstract::The ability of ECG-VCG to predict the severity of postinfarction LV asynergy was evaluated in 152 patients with previous myocardial infarction who underwent left cineventriculography in the right anterior oblique view. Various ECG and VCG signs were examined in order to predict the existence of severe asynergy in gene...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/s0022-0736(84)81092-4

    authors: Piccolo E,Delise P,Trevi G,DiPede F,Allibardi P,Sheiban I,Reale A,Martuscelli E

    更新日期:1984-04-01 00:00:00

  • Mechanisms of ST change in partial thickness ischemia.

    abstract::The origin of ST depression in ischemia remains poorly understood. The accepted source is of intracellular current flowing between the ischemic and non ischaemic muscle both in systole and diastole such that the AC recorded electrocardiogram shows ST elevation over the ischemic area. The difficulty comes with partial ...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/j.jelectrocard.2003.09.002

    authors: Kilpatrick D,Johnston PR,Li DS

    更新日期:2003-01-01 00:00:00

  • Handheld ECG in analysis of arrhythmia and heart rate variability in children with Fontan circulation.

    abstract:BACKGROUND:Our aim was to evaluate the intermittent use of a handheld ECG system for detecting silent arrhythmias and cardiac autonomic dysfunction in children with univentricular hearts. METHODS:Twenty-seven patients performed intermittent ECG recordings with handheld devices during a 14-day period. A manual arrhythm...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/j.jelectrocard.2014.02.006

    authors: Dahlqvist JA,Karlsson M,Wiklund U,Hörnsten R,Rydberg A

    更新日期:2014-05-01 00:00:00

  • His bundle electrogram recording using a multipolar electrode catheter via the arm veins.

    abstract::In eighteen patients with atrioventricular conduction disturbance, His bundle electrograms were studied via the arm vein. A 6F Berkovits-Castellanos USCI hexapolar electrode catheter was introduced into the right atrium and looped across the tricuspid valve in a "golf club" shape. The main aim was to leave the two dis...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/s0022-0736(81)80046-5

    authors: Giuffrida G,Critelli G,Giudice P,Miceli D,Betocchi S,Mazza F,Chiariello M,Condorelli M

    更新日期:1981-01-01 00:00:00

  • Alternating reversed wenckebach periodicity: Concealed electrotonic conduction as a possible mechanism.

    abstract::Electrocardiograms were taken from a 67-year-old man with 2:1 atrioventricular block in whom alternating reversed Wenckebach periodicity was found. Long PR intervals of alternately conducted P waves progressively shortened until an alternate P wave was blocked. After an alternate P wave was blocked, the next alternate...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1054/jelc.2003.50010

    authors: Katoh T,Kinoshita S,Tsujimura Y,Sasaki Y

    更新日期:2003-01-01 00:00:00

  • New material for implantable cardiac leads.

    abstract:UNLABELLED:Cardiac function management devices, including implantable pacemakers and implantable defibrillators, include at least 1 cardiac lead having an electrode for making contact with a portion of the heart. It has been previously shown that the braided multifilament wire electrodes have a high failure rate both f...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/j.jelectrocard.2009.07.019

    authors: Lobodzinski SS,Laks M

    更新日期:2009-11-01 00:00:00

  • Trifascicular block with asynchronous intraventricular recovery and "supernormal" AV conduction.

    abstract::The authors present a case of trifascicular block: complete right bundle branch block, tachycardia-dependent left anterior hemiblock, and bradycardia-dependent left posterior hemiblock. There is, in addition, a complicating independent AV junctional rhythm that is in most instances not affected by the conducted sinus ...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/0022-0736(89)90037-x

    authors: Oreto G,Satullo G,Luzza F,Carerj S,Arrigo F,Schamroth L

    更新日期:1989-07-01 00:00:00

  • Time course of changes in ventricular excitability and conduction during myocardial ischemia and reperfusion in the dog: effect of lidocaine.

    abstract::Strength-interval curves and conduction times were determined in anesthetized dogs during and following myocardial ischemia using a computerized system capable of determining a 5 point strength-interval curve with conduction times within 20 seconds. At the peak incidence of ligation arrhythmias (5 minutes of ischemia)...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/s0022-0736(79)80060-6

    authors: Avitall B,Naimi S,Levine HJ,Mieszala J

    更新日期:1979-07-01 00:00:00

  • Isorhythmic Dissociation--a "physiological" arrhythmia.

    abstract::The behavior of the sino-atrial mechanism in isorhythmic dissociation (IRD) was studied in 21 patients, nine with spontaneous IRD and 12 with artificially pacemaker-induced IRD following electrode placement for heart block. Successive P-P, R-R and P-R intervals and blood pressure (BP) fluctuations were determined and ...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/s0022-0736(77)80052-6

    authors: Kaplinsky E,Aronson R,Neufeld HN

    更新日期:1977-04-01 00:00:00

  • Quantitative assessment of 12-lead ECG synthesis using CAVIAR.

    abstract::The objective of this study is to assess the performance of patient-specific segment-specific (PSSS) synthesis in QRST complexes using CAVIAR, a new method of the serial comparison for electrocardiograms and vectorcardiograms. A collection of 250 multi-lead recordings from the Common Standards for Quantitative Electro...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/0022-0736(92)90080-j

    authors: Scherer JA,Rubel P,Fayn J,Willems JL

    更新日期:1992-01-01 00:00:00

  • Intermittent parasystole with exit block.

    abstract::A 53-year-old patient had a complex ventricular arrhythmia, which most likely was an intermittent pure (nonmodulated) parasystole, due to protection limited to the first part of the cycle coexisting with exit block. However, other interpretations of the observations were possible. Foremost among these was modulated pa...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/s0022-0736(97)80046-5

    authors: Castellanos A,Moleiro F,Guerrero J,Awaad MI,Myerburg RJ

    更新日期:1997-10-01 00:00:00

  • Evaluation of exercise-induced Q-wave amplitude changes and their clinical value.

    abstract::We studied the influence of exercise level, severity of coronary artery disease (CAD), presence of previous myocardial infarction (MI), anterior or diaphragmatic, on the clinical value of exertional Q wave changes (Delta-Q). We retrospectively evaluated the exercise electrocardiograms of 62 patients without angiograph...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/s0022-0736(88)80023-2

    authors: DeCaprio L,Ascione L,Cuomo S,Vigorito C,Brienza A,Acanfora D,Papa M,Donatiello A,Chieffo C,Rengo F

    更新日期:1988-01-01 00:00:00

  • Natural course of electrocardiographic components and stages in the first twelve hours of acute myocardial infarction.

    abstract::Time course evolution of R, Q, T and ST components of the electrocardiogram during the first 12 hours of an acute myocardial infarction was studied. A comparison between anterior-extensive and anteroseptal wall infarctions (anterior group), and inferior-extensive and inferior wall infarction (inferior group) showed ap...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/s0022-0736(87)80098-5

    authors: Klainman E,Sclarovsky S,Lewin RF,Topaz O,Farbstein H,Pinchas A,Fohoriles L,Agmon J

    更新日期:1987-04-01 00:00:00

  • Hemodynamic implications of left bundle branch block.

    abstract::Left bundle branch block (LBBB), traditionally viewed as an electrophysiologic abnormality, is increasingly recognized for its profound hemodynamic effects. LBBB causes asynchronous myocardial activation, which, in turn, may trigger ventricular remodeling. Exercise nuclear studies frequently show reversible perfusion ...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章,评审

    doi:10.1054/jelc.2000.20330

    authors: Littmann L,Symanski JD

    更新日期:2000-01-01 00:00:00

  • Problems and limitations of ECG baseline estimation and removal using a cubic spline technique during exercise ECG testing: recommendations for proper implementation.

    abstract::One common variety of exercise-induced artifact is baseline wander resulting from movement, respiration, and poor electrode contact. Although filters can be designed to remove much of this baseline variation, they will distort the low-frequency components of the ECG complex, such as the TP-segment, the PR-segment, and...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/0022-0736(88)90083-0

    authors: Froning JN,Olson MD,Froelicher VF

    更新日期:1988-01-01 00:00:00