Effect of continuous electrocardiographic monitoring on poor risk patients with acute coronary syndrome
Cheng Yutong
Liu Tongtong
Sun Tao
Wang Su
Yin Chengqian
Zhang Jingmei
Li Zhizhong
Abstract：Objective To investigate the effect of continuous electrocardiographic monitoring on poor risk patients with acute coronary syndrome (ACS).Methods A prospective analysis was performed in 500 patients with ACS whose Global Registry of Acute Coronary Events(GRACE) score between 109 to 140.They are divided into continuous electrocardiographic monitoring group (n =288) and non-electrocardiographic monitoring group (n =212).The State-Trait Anxiety Inventory evaluating patient emotion status and the incidence of clinical events including recurrence of angina pectoris,arrhythmia and death were recorded in 24-48 h after admission.Results There was one death in each group.Anxiety score and recurrence rate of angina pectoris in continuous electrocardiographic monitoring group were significantly higher than those in non-electrocardiographic monitoring group[(56 ± 12)points vs (43 ± 10) points,12.5％ (36/288) vs 7.1％ (15/212)] (P ＜ 0.05).There were no significant differences of arrhythmia rate and clinical event rate between groups (P ＞ 0.05).Conclusion Continuous electrocardiographic monitoring should be performed in poor risk ACS patients with GRACE between 109 to 140.
Keywords：Acute coronary syndromeElectrocardiographic monitoringGlobal Registry of Acute Coronary EventsAnxietyAngina pectoris
Publication Date：2017-01-01
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：3( 1621-1623 )