1. Lessons Learned During the Pandemic: Correlation of QT Intervals Between Telemetry and 12-Lead Electrocardiogram
- Author
-
Ahmad Jabri, Ashish Kumar, Mohamed Farhan Nasser, Elizabeth S. Kaufman, and Saima Karim
- Subjects
medicine.medical_specialty ,abnormal repolarization ,Coronavirus disease 2019 (COVID-19) ,business.industry ,Intraclass correlation ,telemetry ,General Engineering ,12 lead electrocardiogram ,Cardiology ,qt interval ,Healthcare Technology ,QT interval ,prolonged qt ,12-lead ecg ,Correlation ,Internal medicine ,Telemetry ,Intensive care ,Internal Medicine ,Repolarization ,Medicine ,business - Abstract
Background and objective QT prolongation is associated with an increased risk of ventricular arrhythmias. Since some patients on contact or droplet precautions require QT-prolonging medications, monitoring the QT interval may become imperative to prevent fatal arrhythmias. To limit the exposure of staff to patients during and even after the coronavirus disease 2019 (COVID-19) pandemic and judiciously use personal protective equipment (PPE), it is important to find alternatives to frequent 12-lead electrocardiograms (ECG). The objective of this study was to compare QT intervals measured on telemetry to those measured on 12-lead ECG to determine whether telemetry QT interval measurements could be used in place of 12-lead measurements. Methods Simultaneous telemetry recordings via a Philips telemetry monitoring system (Philips Healthcare, Eindhoven, Netherlands) and 12-lead ECGs were obtained from 50 patients. Patients were from cardiac telemetry and cardiac intensive care units. QT interval from the telemetry system was compared to the QT interval on the 12-lead ECG. QT intervals on two telemetry strips were uninterpretable as the termination of the T-wave could not be defined appropriately; therefore, these patients were excluded. Results In 33 of 48 patients (69%), QT intervals from the telemetry studies matched the QT intervals measured by 12-lead ECG. The intraclass correlation coefficient (ICC) between telemetry QT and 12-lead ECG QT was 0.887 (95% CI: 0.809-0.934; p
- Published
- 2021