• Continuous ST-segment monitoring is underused despite its effectiveness in detecting silent myocardial ischemia in critically ill patients.

  • The physiological stress of critical illness, hemodynamic instability, and electrolyte imbalances may create increased metabolic demands on the body and trigger silent myocardial ischemia.

  • Intensive care patients would be well served by continuous ST-segment monitoring for detection of silent myocardial ischemia, as issues related to oxygen demand are prevalent in this group.

Cardiac monitoring of critically ill patients enables 3 basic features to be detected: rate abnormalities, rhythm disturbances, and ischemic patterns. When it was developed, continuous computerized ST-segment monitoring proved an invaluable resource for detecting ischemia in critically ill cardiac patients. Considered a technological bonus if instituted correctly, this essential device for detection of myocardial ischemia is underused in the United States. Experts in the field of electrocardiographic (ECG) monitoring are currently advocating for...

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