The Use of Electrocardiography in the Emergency Department

Priya Gopwani Jain*, Sami Chaouki

*Corresponding author for this work

Research output: Contribution to journalArticle

Abstract

Electrocardiograms can be useful in the emergency department setting when dealing with patients presenting with cardiac symptoms and signs. These include chest pain, syncope, palpitations, cyanosis, heart failure symptoms, and ingestions. Although the electrocardiogram may be helpful in identifying an underlying diagnosis, it may be normal in many cases and should be used as an adjunct diagnostic tool, not to be relied upon solely. Important diagnoses that can be made by electrocardiogram alone include supraventricular and ventricular arrhythmias, conduction system abnormalities such as heart block, and some channelopathies, such as long QT syndrome and Brugada syndrome. Caution must be taken in that, often, these diagnoses cannot be excluded even in the presence of a normal electrocardiogram (differing sensitivity for different diseases) and, often, incidental findings may occur in the absence of heart disease (nonspecific findings). Therefore, it is important to synthesize all data prior to coming to any conclusions.

Original languageEnglish (US)
Pages (from-to)317-322
Number of pages6
JournalClinical Pediatric Emergency Medicine
Volume19
Issue number4
DOIs
StatePublished - Dec 1 2018

Keywords

  • arrhythmia
  • chest pain
  • electrocardiogram
  • palpitations
  • syncope

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Emergency Medicine

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