Does routine use of the 15-lead ECG improve the diagnosis of acute myocardial infarction in patients with chest pain?
P Rosengarten, AM Kelly, D Dixon
Emergency Medicine | Published : 2001
OBJECTIVE: It has been suggested that the use of additional electrocardiogram leads might improve the diagnostic sensitivity of this test, thus potentially expanding eligibility for thrombolysis for patients suffering myocardial infarction. The aims of this study were to evaluate the role of the 15-lead electrocardiogram in the emergency department chest pain population and to determine whether the routine use of the extra leads expands the group of patients eligible to receive thrombolysis. METHODS: Blinded, individual and independent analysis by two emergency physicians of paired 12- and 15-lead electrocardiograms from adult patients with a primary complaint of chest pain. The main outcome..View full abstract