PMID- 36745235
OWN - NLM
STAT- MEDLINE
DCOM- 20230227
LR  - 20230227
IS  - 1435-1544 (Electronic)
IS  - 0938-7412 (Linking)
VI  - 34
IP  - 1
DP  - 2023 Mar
TI  - QRS double counting by ECG software in ST elevation myocardial infarction.
PG  - 75-77
LID - 10.1007/s00399-023-00925-8 [doi]
AB  - A 62-year-old female patient suffering from ST elevation myocardial infarction 
      (STEMI) was transported to a cardiology facility. During transport, the monitor 
      triggered an alarm for tachycardia despite a normal pulse. The reason was 
      a misinterpretation of the ECG software, which double counted the QRS complex. 
      QRS double counting has been reported in the setting of hyperkalemia only. In 
      this case report, QRS double counting in association with STEMI is documented for 
      the first time. Healthcare workers who are monitoring patients with myocardial 
      infarction should be aware of this misdiagnosis and able to recognize the 
      pattern.
CI  - (c) 2023. The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, 
      ein Teil von Springer Nature.
FAU - Grautoff, Steffen
AU  - Grautoff S
AD  - Sicherheit und Ordnung, Gefahrenabwehr, Rettungsdienst Kreis Herford, 
      Wittekindstr. 7, 32051, Herford, Germany. Steffen.Grautoff@klinikum-herford.de.
AD  - Zentrale Notaufnahme, Klinikum Herford, Schwarzenmoorstr. 70, 32049, Herford, 
      Germany. Steffen.Grautoff@klinikum-herford.de.
LA  - eng
PT  - Case Reports
PT  - Journal Article
TT  - QRS-Doppelzahlung durch EKG-Software im Rahmen eines ST-Hebungs-Infarkts.
DEP - 20230206
PL  - Germany
TA  - Herzschrittmacherther Elektrophysiol
JT  - Herzschrittmachertherapie & Elektrophysiologie
JID - 9425873
SB  - IM
MH  - Female
MH  - Humans
MH  - Middle Aged
MH  - *ST Elevation Myocardial Infarction
MH  - *Myocardial Infarction/diagnosis
MH  - Software
MH  - Electrocardiography
OTO - NOTNLM
OT  - Acute coronary syndrome
OT  - Electrocardiogram
OT  - Inferior STEMI
OT  - Littmann sign
OT  - Misinterpretation
OT  - Monitor surveillance
EDAT- 2023/02/07 06:00
MHDA- 2023/03/03 06:00
CRDT- 2023/02/06 11:16
PHST- 2022/12/18 00:00 [received]
PHST- 2023/01/11 00:00 [accepted]
PHST- 2023/02/07 06:00 [pubmed]
PHST- 2023/03/03 06:00 [medline]
PHST- 2023/02/06 11:16 [entrez]
AID - 10.1007/s00399-023-00925-8 [pii]
AID - 10.1007/s00399-023-00925-8 [doi]
PST - ppublish
SO  - Herzschrittmacherther Elektrophysiol. 2023 Mar;34(1):75-77. doi: 
      10.1007/s00399-023-00925-8. Epub 2023 Feb 6.