Evaluation eines neuartigen kapazitiven EKG-Systems bei Patienten mit akutem ST-Hebungs-Myokardinfarkt

Weil, Mareike Bianca

dc.contributor.advisor	Maier, Lars S. Prof. Dr.
dc.contributor.author	Weil, Mareike Bianca
dc.date.accessioned	2013-12-02T14:28:01Z
dc.date.available	2013-12-18T23:50:05Z
dc.date.issued	2013-12-02
dc.identifier.uri	http://hdl.handle.net/11858/00-1735-0000-0022-5D0C-E
dc.identifier.uri	http://dx.doi.org/10.53846/goediss-4162
dc.language.iso	deu	de
dc.rights.uri	http://creativecommons.org/licenses/by-nc-nd/3.0/
dc.subject.ddc	610	de
dc.title	Evaluation eines neuartigen kapazitiven EKG-Systems bei Patienten mit akutem ST-Hebungs-Myokardinfarkt	de
dc.type	doctoralThesis	de
dc.title.translated	First clinical evaluation of a novel capacitive ECG system in patients with acute myocardial infarction	de
dc.contributor.referee	Paul, Thomas Prof. Dr.
dc.date.examination	2013-12-11
dc.description.abstracteng	OBJECTIVE The ECG plays a central role in the rapid diagnosis of acute myocardial infarctions (MI). In haemodynamically instable patients, adhesion of electrodes sometimes is difficult and assessing ECGs through layers of clothes has not been done so far. A novel capacitive measurement of ECG signals is possible without skin contact. Whether this technical innovation can be used in patients with MI is unclear. METHODS We evaluated a capacitive ECG system (cECG) in patients with anterior and inferior ST elevation MI (STEMI). The cECG was assessed using a sensor array consisting of 15 electrodes of which the classical leads I, II, III, aVL, aVF and V1–V3 were calculated from. 66 patients were included in the study. In addition to the conventional ECG (kECG) the novel cECG was registered before reperfusion therapy was started. RESULTS In a first round, 19 patients presented with anterior MI, 23 with inferior MI, and 7 either with left bundle branch block or lateral MI. Regarding anterior MI, a significant correlation (P < 0.05) was found between ST elevations in leads I, aVL, V2 and V3 comparing cECG and kECG. In inferior MI, there was only a significant correlation (P < 0.05) in lead III between cECG and kECG, but not in II and aVF. Therefore, 17 additional patients were included in the study by placing an additional electrode further away from the sensor array on the chest. ST elevations now correlated in all inferior leads II, III and aVF (P < 0.05) as measured in 9 patients with inferior MI. CONCLUSION It is possible to identify STEMIs by cECG. This innovative technique could play an important role in the pre-hospital period as well as in the hospital.	de
dc.contributor.coReferee	Crozier, Thomas Prof. Dr. Dr.
dc.subject.ger	STEMI	de
dc.subject.ger	kapazitive Messtechnik	de
dc.subject.ger	kapazitives EKG	de
dc.subject.ger	EKG	de
dc.subject.ger	Elektrokardiogramm	de
dc.subject.ger	kontaktloses EKG	de
dc.subject.ger	akuter Myokardinfarkt	de
dc.subject.eng	capacitive measurement	de
dc.subject.eng	capacitive ecg	de
dc.subject.eng	acute myocardial infarction	de
dc.subject.eng	STEMI	de
dc.subject.eng	electrocardiogram	de
dc.subject.eng	ecg	de
dc.subject.eng	contactless ecg	de
dc.identifier.urn	urn:nbn:de:gbv:7-11858/00-1735-0000-0022-5D0C-E-1
dc.affiliation.institute	Medizinische Fakultät	de
dc.subject.gokfull	Innere Medizin - Allgemein- und Gesamtdarstellungen (PPN619875747)	de
dc.subject.gokfull	Kardiologie (PPN619875755)	de
dc.subject.gokfull	Diagnostik {Medizin} (PPN619875739)	de
dc.subject.gokfull	Biophysik {Medizin} (PPN619875127)	de
dc.subject.gokfull	Physik / Biopyhsik / Biomedizinische Technik - Allgemein- und Gesamtdarstellungen (PPN619875100)	de
dc.subject.gokfull	Biomedizinische Technik (PPN619875135)	de
dc.description.embargoed	2013-12-18
dc.identifier.ppn	773355243

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