ST-segment monitoring can detect silent ischemia, which occurs in the absence of symptoms. Although the impact of ST-segment monitoring on patient outcomes is not known, when ST-segment monitoring is used it is imperative that accurate data are obtained.

Level I: Manufacturer’s recommendations only

Level II: Theory based, no research data to support recommendations; recommendations from expert consensus group may exist

Level III: Laboratory data, no clinical data to support recommendations

Level IV: Limited clinical studies to support recommendations

Level V: Clinical studies in more than one or two patient populations and situations to support recommendations

Level VI: Clinical studies in a variety of patient populations and situations to support recommendations

To e-mail a clinical practice specialist for additional information/assistance, go to www.aacn.org, click “Contact Us,” and select PRN under Departments.

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