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<p>Background and purpose: The relevance of skin preparation</p><p>by abrasion preceded or not by alcohol cleansing for digital</p><p>ECG (dECGs) variables was prospectively evaluated.</p><p>Methods: In 22 healthy male subjects (40.2±9.7 years) dECGs</p><p>were recorded continuously over 5 minute periods at 5 different</p><p>time points at 3 separate 24-hour visits, employing 2 electrode</p><p>types and no skin preparation, abrasion and alcohol cleansing</p><p>before abrasion. Smoothed means dECG data covering 5</p><p>minutes used for statistical analysis on leads V2-3 and V5.</p><p>Results: Significant of skin preparation with reductions for</p><p>skin-impedance and noise (p<0.0001 – p=0.35) for all leads,</p><p>and with no further effect by alcohol cleansing (p>0.46). PRintervals</p><p>were significantly prolonged by skin preparation</p><p>(p=0.0003 – p=0.0165) in leads V2-3 at 120 and 1 440 minutes;</p><p>with additional impact of alcohol at 1 440 minutes (p=0.0005).</p><p>Subject comfort was markedly higher with one of the electrode</p><p>types (p<0.0001).</p><p>Conclusion: Skin preparation by abrasion should be employed</p><p>prior to dECG recordings to improve signal properties.</p><p>Cleansing with alcohol is generally not warranted. Skin</p><p>irritation is dependant on choice of electrode.</p>

Background and purpose: The relevance of skin preparation by abrasion preceded or not by alcohol cleansing for digital ECG (dECGs) variables was prospectively evaluated. Methods: In 22 healthy male subjects (40.2±9.7 years) dECGs were recorded continuously over 5 minute periods at 5 different time points at 3 separate 24-hour visits, employing 2 electrode types and no skin preparation, abrasion and alcohol cleansing before abrasion. Smoothed means dECG data covering 5 minutes used for statistical analysis on leads V2-3 and V5. Results: Significant of skin preparation with reductions for skin-impedance and noise (p<0.0001 – p=0.35) for all leads, and with no further effect by alcohol cleansing (p>0.46). PRintervals were significantly prolonged by skin preparation (p=0.0003 – p=0.0165) in leads V2-3 at 120 and 1 440 minutes; with additional impact of alcohol at 1 440 minutes (p=0.0005). Subject comfort was markedly higher with one of the electrode types (p<0.0001). Conclusion: Skin preparation by abrasion should be employed prior to dECG recordings to improve signal properties. Cleansing with alcohol is generally not warranted. Skin irritation is dependant on choice of electrode.

Class of 2016 Abstract / Objectives: This study assessed the feasibility of using a hand-held single lead ECG device to collect readable electrocardiograms (ECGs) in a community setting among the general population. Next, the goal was to determine if QT intervals could be measured from the collected ECGs. Additionally, this study was designed to examine if patients who had a prolonged QT interval were taking medications that are associated with an increased risk of prolonged QT interval. Methods: This prospective pilot study involved collecting ECGs via an AliveCor hand-held device at community health fairs. ECGs were evaluated for usefulness and QT intervals were measured if possible. Results: Forty-eight subjects participated in this pilot study. Forty-five viable ECGs were recorded using the hand-held device. Of the 45 ECGs, 38 were of sufficient quality to measure the QT interval and calculate QTc interval. There were no prolonged QT intervals observed in this study. Conclusions: The hand-held device recorded sufficient information to extract QT intervals for the majority of subjects. Due to the lack of prolonged QTc intervals, there was insufficient data to determine if this device could be utilized in the detection of QT prolongation due to medication use.