Rationale and Comments
Telemetric monitoring is of limited utility or measurable benefit in low-risk cardiac chest pain patients with normal electrocardiogram. Published guidelines provide clear indications for the use of telemetric monitoring in patients, which are contingent upon frequency, severity, duration, and conditions under which the symptoms occur. Inappropriate use of telemetric monitoring is likely to increase cost of care and produce false positives potentially resulting in errors in patient management.
Sponsoring Organizations
- Society of Hospital Medicine (Adult)
Sources
Disciplines
References
- Drew BJ, et al. Practice standards for electrocardiographic monitoring in hospital settings. Circulation. 2004;110:2721-46.
- Crawford MH, et al. ACC/AHA guidelines for ambulatory electrocardiography. Circulation. 1999;100:886-93.
- Snider A, et al. Is telemetry monitoring necessary in low-risk suspected acute chest pain syndromes? Chest. 2002;122:517-23.
- Marshaleen N, et al. Is telemetry overused? Is it as helpful as thought? Cleve Clin J Med. 2009;368-72.
- Adams HP Jr, et al. Guidelines for the early management of adults with ischemic stroke. Stroke. 2007;38(5):1655-711.