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Abstracts and presentations are embargoed for release at date and time of presentation or time of AHA/ASA news event. Information may not be released before then. Failure to honor embargo policies will result in the abstract being withdrawn and barred from presentation.
PosterSession Title: Poster Session III

Abstract 361: Clinical Utility and Impact of Revised Continuous Cardiac Telemetry in Identifying Life Threatening Arrhythmias

Pranav Kansara, Jackson Kristi, Robert Dressler, Henry Weiner, Kerzner Roger, William S Weintraub, Andrew Doorey
Circulation: Cardiovascular Quality and Outcomes. 2014;7:A361
Pranav Kansara
Christiana Care Health System, Newark, DE
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Jackson Kristi
Univ of Delaware, Newark, DE
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Robert Dressler
Christiana Care Health System, Newark, DE
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Henry Weiner
Christiana Care Health System, Newark, DE
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Kerzner Roger
Christiana Care Health System, Newark, DE
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William S Weintraub
Christiana Care Health System, Newark, DE
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Andrew Doorey
Christiana Care Health System, Newark, DE
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Abstract

Background: Continuous cardiac telemetry (CCT) is used to provide immediate awareness of life-threatening rhythm disorders. When used too widely, many patients (pts) who do not need CCT receive this service, while when used too restrictively; this may place pts at risk.

Methods: In March 2013, Christiana Care Health System revised CCT utilization standards based on risk stratification per 2004 AHA guidelines. We retrospectively and randomly examined daily call logs from central monitoring department (CMD) for 2625 monitored non-ICU pts during two separate months, November 2012 (old system, 1323 pts) and June 2013 (new system, 1322 pts). The calls were categorized as emergent (EC) and non EC as per pre-determined criteria. Life-threatening rhythms were defined as sustained ventricular tachycardia/fibrillation and asystole.

Results: The revised CCT system reduced total number of monitored pts by 23% and total no of calls by 44% over a 30 day period. EC frequency was 1.1% for the entire study. There was a single potentially life threatening arrhythmia among the 7200 calls from 2645 pts (ventricular tachycardia that self-terminated in 32 seconds). Only 14% of total EC led to a change in management within 1 hour.

Conclusion: In these non-ICU patients, it was rare that CCT provided an alert to a life-threatening arrhythmia. Arrhythmias leading to treatment changes within 1 hour were also uncommon. Guideline driven use of CCT decreases the overuse of monitors. Low rate of truly emergent arrhythmias in contemporarily managed patients reveals this to be safe.


Embedded Image
  • Ventricular arrythmias
  • cardiac telemetry
  • asystole
  • Author Disclosures: P. Kansara: None. J. Kristi: None. R. Dressler: None. H. Weiner: None. K. Roger: None. W. Weintraub: None. A. Doorey: None.

  • © 2014 by American Heart Association, Inc.
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    Abstract 361: Clinical Utility and Impact of Revised Continuous Cardiac Telemetry in Identifying Life Threatening Arrhythmias
    Pranav Kansara, Jackson Kristi, Robert Dressler, Henry Weiner, Kerzner Roger, William S Weintraub and Andrew Doorey
    Circulation: Cardiovascular Quality and Outcomes. 2014;7:A361, originally published June 2, 2014

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    Abstract 361: Clinical Utility and Impact of Revised Continuous Cardiac Telemetry in Identifying Life Threatening Arrhythmias
    Pranav Kansara, Jackson Kristi, Robert Dressler, Henry Weiner, Kerzner Roger, William S Weintraub and Andrew Doorey
    Circulation: Cardiovascular Quality and Outcomes. 2014;7:A361, originally published June 2, 2014
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