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The impact on the quality of the ECG exam when performed outside the recommended standards

Impact on ECG quality when electrodes are applied to incorrect intercostal spaces - ECG - electrocardiogram

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
REBEC
Registry ID
RBR-9h4tp3
Enrollment
Unknown
Registered
2020-07-09
Start date
2020-02-26
Completion date
Unknown
Last updated
2025-10-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Electrocardiography

Interventions

STEP 1 - Perform the ECG according to the practices recommended by the references. 2
25. Protocol 1 located in Appendix G will be used, which describes the correct practice necessary steps for the procedure. Where precordial electrodes will be allocated strictly in accordance with in
25. The exam will be carried out by two nurses responsible for this research, waived the requirement to sign the consent form because they are responsible techniques of that study. STEP 2 - Performin
Procedure/surgery
C14.280.647.500
C14.280.647.187.150

Sponsors

Instituto Nacional de Cardiologia
Lead Sponsor
Lorena Xavier Rocha Carvalho
Collaborator
Jessica de Oliveira Calazans
Collaborator

Eligibility

Age
18 Years to No maximum

Inclusion criteria

Inclusion criteria: literate who can read and write; is that hospitalized at the time of carrying out the research in the specific ward for treatment of coronary diseases of that institution; in pre and post-myocardial revascularization surgery operatives; with medical diagnosis of unstable angina; or acute myocardial infarction.

Exclusion criteria

Exclusion criteria: All patients with abnormalities of cardiac cavities

Design outcomes

Primary

MeasureTime frame
It is expected to find differences in the results of ECGs from the comparison between two different techniques in each participant: correct (according to the guidelines and main references) x an incorrect technique (observed in practice from the confusion between the position of the electrodes of the leads V1 and V2 in the recommended intercostal spaces - 4th intercostal space - and in cardiac auscultation spaces - 2nd intercostal space). The applied methodology will be done through the use of two pre-formulated protocols (incorrect technique versus incorrect technique), and the order of accomplishment of each one of the techniques will occur from a randomization table, being informed by a study collaborator who does not participate in the exams, and ECG collaborators are not allowed access to the table

Secondary

MeasureTime frame
No statistically significant differences were observed between the data obtained between protocol 1, of the technique guided by the current existing references, and protocol 2, created from the observation of the incorrect application of the electrodes in cardiac auscultation foci. The exception was the variable of the presence of a negative P wave in V1, where a statistically significant difference was observed in the comparison between the two protocols, with a P value of 0.003.

Countries

Brazil

Contacts

Public ContactJesisca;Jessica Calazans;Calazans

Instituto Nacional de Cardiologia;Jessica de Oliveira Calazans

ocjessica25@gmail.com;ocjessica25@gmail.com+55-21-993513435;21- 993513435

Outcome results

None listed

Source: REBEC (via WHO ICTRP) · Data processed: Feb 11, 2026