Artifactual ECG changes induced by electrocautery in a patient with coronary artery disease

B Naveen Naik; Ankur Luthra; Ashish Dwivedi; Anudeep Jafra

doi:10.1016/j.jelectrocard.2017.03.005

Artifactual ECG changes induced by electrocautery in a patient with coronary artery disease

J Electrocardiol. 2017 Jul-Aug;50(4):531-533. doi: 10.1016/j.jelectrocard.2017.03.005. Epub 2017 Mar 14.

Authors

B Naveen Naik¹, Ankur Luthra², Ashish Dwivedi¹, Anudeep Jafra¹

Affiliations

¹ Post Graduate Institute Of Medical Education and Research (PGIMER), Chandigarh, India.
² Post Graduate Institute Of Medical Education and Research (PGIMER), Chandigarh, India. Electronic address: zazzydude979@gmail.com.

PMID: 28347479
DOI: 10.1016/j.jelectrocard.2017.03.005

Abstract

Continuous monitoring of 5-lead electrocardiogram is a basic standard of care (included under standard ASA monitor) in the operating room and electrocautery interference is a common phenomenon. Clinical signs, along with monitored waveforms from other simultaneously monitored parameters may provide us clues to differentiate artifacts from true changes on the electrocardiogram. An improved understanding of the artifacts generated by electrocautery and their identifying characteristics is important to avoid misinterpretation, misdiagnosis, and hence mismanagement. This case report highlights the artifacts in electrocardiogram induced by electrocautery.

Keywords: Coronary artery disease; ECG; Electrocautery.

Publication types

Case Reports

MeSH terms

Artifacts*
Coronary Artery Disease / physiopathology*
Echocardiography
Electrocardiography*
Electrocoagulation / adverse effects*
Hernia, Inguinal / surgery*
Humans
Intraoperative Period
Male
Middle Aged