CardioPerfect™ Resting ECG Quick Start Guide Basic
Contents
1. Electrical devices in the immediate area lighting concealed wiring in walls or floors Improperly grounded electrical outlet Incorrect AC filter frequency setting or AC filter is turned off 4341 State Street Road PO Box 220 Skaneateles Falls NY 13153 0220 USA p 800 535 6663 f 315 685 2174 www welchallyn com 2007 Welch Allyn REF 101910 Mat Number 708550 Ver B Broken lead wire patient cable or power cord Reattach the lead Replace the electrode Verify that the electrode area has been properly prepared shaved cleaned with alcohol or acetone allowed to dry Verify that electrodes have been properly stored and handled Clean skin with alcohol or acetone Reposition or replace electrodes Help patient relax If wandering baseline persists turn the baseline filter on Ask patient to remain still and relaxed Help patient get comfortable Check all electrode contacts If interference persists turn the muscle tremor filter on If interference still persists the problem is probably electrical in nature See the following suggestions for reducing AC interference Verify that the patient is not touching any metal Verify that the AC power cable is not touching the patient lead cable Verify that the proper AC filter is selected If interference still persists the noise may be caused by other equipment in the room or by poorly grounded power lines Try moving to another r2. or body movement No There is no pain or risk associated with having an electrocardiogram No The machine only records the ECG 1 Install Software and USB Drivers This Quick Start Guide is intended for use with CardioPerfect Workstation version 1 6 0 or higher For complete directions for use and warnings please consult your user manual located on the software CD 2 Connect your Recorder Connect the PC interface cable ProLink to a USB port on your computer Connect the other end to the black connector on the recorder Connect the patient cable to the blue connector on the recorder Patient Cable Connection PC Interface Connection On Off Switch 0 3 Prepare Your Patient The quality of an ECG is dependent on the preparation and the resistance between the skin and the electrode To ensure a good quality ECG and minimize the skin electrode resistance remember the following points Ensure that the patient is warm and relaxed Shave electrode area before cleaning Thoroughly clean the area with alcohol Let dry prior to applying electrodes RA and LA electrodes should be placed on the wrists RL and LL electrodes should be placed a few inches above the ankle V1 Fourth intercostal space at the right border of the sternum Fourth intercostal space at the left border of the sternum Midway between locations V2 and V4 At the mid clavicular line in the fifth intercostal space At the ante
3. RESTING ECG E DN TA ENT INFORMATION An electrocardiogram often abbreviated as EKG or ECG is a test that measures the electrical activity of the heartbeat With each beat an electrical impulse or wave travels through the heart This wave causes the muscle to squeeze and pump blood from the heart An ECG gives two major kinds of information First by measuring time intervals on the ECG a doctor can determine how long the electrical wave takes to pass through the heart Finding out how long the wave takes to travel from one part of the heart to the next shows if the electrical activity is normal or slow fast or irregular Second by measuring the amount of electrical activity passing through the heart muscle a cardiologist may be able to find out if parts of the heart are too large or are overworked Several sensors called electrodes will pick up the electrical activity in the heart You will be asked to lie down and technicians will put several patches electrodes on the chest arms and legs Usually the electrodes are soft and don t cause any discomfort when they are put on or taken off by the technician The electrodes are connected to wires called leads which are connected to the ECG machine The electrical activity of the heart is then recorded on a moving strip of paper in the ECG machine During the ECG recording you should lie quietly for 10 20 seconds because the electrocardiograph will detect any muscle
4. elps catch events by already saving 5 seconds of traces before you start the recording The notch filter removes noise that is caused by AC power interference 7 Review Data and Print Report You can choose from multiple ECG report templates If automatic printing is checked in the ECG Print settings the report will print now If you did not select Automatic printing in the Settings click on the down arrow next to the Print icon and choose Print Selected Formats to initiate printing If you just want to print one type of report click on the Print icon and select the desired report page Fle Edi View Action Tese Help Electrode contact may be poor A lead may be loose A lead is disconnected from patient Electrodes that are dirty corroded loose or positioned on a bony area Insufficient or dried electrode gel Oily skin or body lotions Rising and falling of chest during rapid or EREE E IE tal Ple ei apprehensive breathing Patient moved Patient is uncomfortable tense nervous Patient is cold and shivering Exam bed is too narrow or short to comfortably support arms and legs Arm or leg electrode straps are too tight Electrodes that are dirty corroded loose or positioned on a bony area Insufficient or dried electrode gel Patient or technician touching an electrode during recording Patient touching any metal parts of an exam table or bed
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6. rior axillary line on the same horizontal level as V4 At the mid axillary line on the same horizontal level as V4 and V5 R and L electrodes should be placed on the wrists N and LF electrodes should be placed a few inches above the ankle c1 Fourth intercostal space at the right border of the sternum Fourth intercostal space at the left border of the sternum Midway between locations C2 and C4 At the mid clavicular line in the fifth intercostal space 6 8 8 At the anterior axillary line on the same horizontal level as C4 Atthe mid axillary line on the same horizontal level as C4 and C5 a l i i 1 1 f 1 O I 1 1 5 Create a New Patient Open the CardioPerfect Workstation Software Select Patient Fill in Patient Card s Click on the ECG Icon To select a patient from the database 1 In the Search box type parts of the patient name or number 2 Click the Go button 3 Click on the patient for whom you want to record the test 6 Record a Test Select physician names and lead configuration and click OK Auto ECG Click the Record button to start a 12 lead resting ECG Rhythm Manual ECG Click the Rhythm button to start a recording of up to 300 seconds s Click Event button to mark areas of interest s Click the Rhythm button a second time to stop the rhythm recording Click the Cancel button to cancel Note The pretrigger option h
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