心肌缺血患者连续ST段心电监测策略的最佳证据总结

doi:10.3761/j.issn.2096-7446.2026.02.018

Abstract

Abstract:

Objective To retrieve，evaluate and summarize the best evidence for continuous ST-segment monitoring in patients with myocardial ischemia，so as to provide an evidence-based basis for effectively identifying and warning of changes in medical condition. Methods We searched from 12 databases，9 guideline websites or association websites for literature on continuous ST-segment monitoring，up to December 31，2024，including guidelines，expert consensus，systematic reviews，evidence summaries and practice standards. Literature related was screened，and evaluated using the corresponding quality evaluation tools，and evidence was extracted and integrated from the final included literature. Results A total of 8 articles were selected，including 5 guidelines，2 practice standards and 1 evidence summary. Finally，8 themes were formed from 44 pieces of best evidence，including developing practical standards，continuing education and training，appropriate population and monitoring duration，posture and skin preparation，electrode placement，lead selection，alarm management，and documentation. Conclusion The best evidence for continuous ST-segment monitoring in myocardial ischemia patients summarized in this study is scientific and comprehensive. It is recommended that caregivers carefully select evidence based on clinical context，to fully utilize the monitoring effectiveness of electrocardiogram monitoring.

Key words: ST-Segment Monitoring, Cardiac Monitoring, Myocardial Ischemia, Lead Selection, Evidence-Based Nursing, Evidence Summary

WANG Jianjun, CHEN Shuhui, LIU Mengxin, MEI Fengling, WANG Li. Summary of the best evidence for continuous ST-segment monitoring in patients with myocardial ischemia[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(2): 231-387.

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References 39

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Summary of the best evidence for continuous ST-segment monitoring in patients with myocardial ischemia

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