Electrocardiography Pitfalls and Artifacts: The 10 Commandments

Baranchuk, Adrian; Shaw, Catherine; Alanazi, Haitham; Campbell, Debra; Bally, Kathy; Redfearn, Damian P.; Simpson, Christopher S.; Abdollah, Hoshiar
February 2009
Critical Care Nurse;Feb2009, Vol. 29 Issue 1, p67
Academic Journal
The article discusses the many potential artifacts and pitfalls which can adversely affect the interpretation of 12-lead ambulatory electrocardiograms (ECG). Artifacts can simulate arrhythmias such as atrial flutter and ventricular tachycardia and lead to inappropriate treatment. Other ECG changes that may be interpreted as ischemic in origin and can mimic serious arrhythmias are electrode and lead misplacements.


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