Fabrication of a low-cost strap for holding precordial electrodes on the hirsute chest

Background: Reusable suction-cup electrodes are used for recording a 12-lead electrocardiogram (ECG) in resource-limited settings. These electrodes may easily detach if those are attached on a hirsute chest. Additionally, the suction pressure may cause erythema and pain. Aim: The aim of this study w...

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Main Authors: Himel Mondal, Tanmoy Chattopadhyay, Shaikat Mondal, Debasish Das, Sairavi Kiran Biri
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=5;spage=2359;epage=2363;aulast=Mondal
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author Himel Mondal
Tanmoy Chattopadhyay
Shaikat Mondal
Debasish Das
Sairavi Kiran Biri
author_facet Himel Mondal
Tanmoy Chattopadhyay
Shaikat Mondal
Debasish Das
Sairavi Kiran Biri
author_sort Himel Mondal
collection DOAJ
description Background: Reusable suction-cup electrodes are used for recording a 12-lead electrocardiogram (ECG) in resource-limited settings. These electrodes may easily detach if those are attached on a hirsute chest. Additionally, the suction pressure may cause erythema and pain. Aim: The aim of this study was to develop a low-cost strap for holding the suction-cup-based precordial electrodes and to test its applicability to the recording of ECG. Materials and Methods: A scrap rubber tube was cut in size so that it can cover all the precordial electrode positions. Slit openings (electrodes can be inserted through these opening) were made on this rubber strap. A cloth and a hook-and-loop fastener were used to make an adjustable fastener. ECG was recorded first on 16 non-hairy males with electrodes placed on the chest with the strap and then with electrodes attached by suction. After that, ECG was recorded on 16 males with hirsute chest first with the electrodes placed with the help of the strap and then with suction (without strap) on the shaved chest. Results: The outcome of this study is a low-cost ECG chest strap for a hirsute chest. Both the negative and positive QRS voltages in six precordial leads recorded with electrodes placed with the strap were similar to that of suction-attached electrodes in both non-hairy and hirsute chest. Conclusion: Developed rubber chest strap can be made with minimal cost and expertise in any resource-limited settings. This would help in recording the ECG of a patient with a hirsute chest. This prototype strap has scope for further improvement.
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spelling doaj.art-48f1f7f603ed4c7089697ec43a6a65272022-12-22T00:16:09ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632020-01-01952359236310.4103/jfmpc.jfmpc_292_20Fabrication of a low-cost strap for holding precordial electrodes on the hirsute chestHimel MondalTanmoy ChattopadhyayShaikat MondalDebasish DasSairavi Kiran BiriBackground: Reusable suction-cup electrodes are used for recording a 12-lead electrocardiogram (ECG) in resource-limited settings. These electrodes may easily detach if those are attached on a hirsute chest. Additionally, the suction pressure may cause erythema and pain. Aim: The aim of this study was to develop a low-cost strap for holding the suction-cup-based precordial electrodes and to test its applicability to the recording of ECG. Materials and Methods: A scrap rubber tube was cut in size so that it can cover all the precordial electrode positions. Slit openings (electrodes can be inserted through these opening) were made on this rubber strap. A cloth and a hook-and-loop fastener were used to make an adjustable fastener. ECG was recorded first on 16 non-hairy males with electrodes placed on the chest with the strap and then with electrodes attached by suction. After that, ECG was recorded on 16 males with hirsute chest first with the electrodes placed with the help of the strap and then with suction (without strap) on the shaved chest. Results: The outcome of this study is a low-cost ECG chest strap for a hirsute chest. Both the negative and positive QRS voltages in six precordial leads recorded with electrodes placed with the strap were similar to that of suction-attached electrodes in both non-hairy and hirsute chest. Conclusion: Developed rubber chest strap can be made with minimal cost and expertise in any resource-limited settings. This would help in recording the ECG of a patient with a hirsute chest. This prototype strap has scope for further improvement.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=5;spage=2359;epage=2363;aulast=Mondalchest leadecg strapekgelectrocardiographyelectrodeserythemainnovation
spellingShingle Himel Mondal
Tanmoy Chattopadhyay
Shaikat Mondal
Debasish Das
Sairavi Kiran Biri
Fabrication of a low-cost strap for holding precordial electrodes on the hirsute chest
Journal of Family Medicine and Primary Care
chest lead
ecg strap
ekg
electrocardiography
electrodes
erythema
innovation
title Fabrication of a low-cost strap for holding precordial electrodes on the hirsute chest
title_full Fabrication of a low-cost strap for holding precordial electrodes on the hirsute chest
title_fullStr Fabrication of a low-cost strap for holding precordial electrodes on the hirsute chest
title_full_unstemmed Fabrication of a low-cost strap for holding precordial electrodes on the hirsute chest
title_short Fabrication of a low-cost strap for holding precordial electrodes on the hirsute chest
title_sort fabrication of a low cost strap for holding precordial electrodes on the hirsute chest
topic chest lead
ecg strap
ekg
electrocardiography
electrodes
erythema
innovation
url http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=5;spage=2359;epage=2363;aulast=Mondal
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AT tanmoychattopadhyay fabricationofalowcoststrapforholdingprecordialelectrodesonthehirsutechest
AT shaikatmondal fabricationofalowcoststrapforholdingprecordialelectrodesonthehirsutechest
AT debasishdas fabricationofalowcoststrapforholdingprecordialelectrodesonthehirsutechest
AT sairavikiranbiri fabricationofalowcoststrapforholdingprecordialelectrodesonthehirsutechest