Hi all I would of thought preventative screening equipment and advice in relation to lifestyle changes would preferable and more beneficial when discussing risk factors of CHD instead of a one off 12 Lead ECG. I have to agree with Tristis and following my experience on a cardiac unit for 5 years all cardiac monitoring err on the side of caution and over analyse leaving a very somewhat stressed individual and if the assessor is unable to interpret the information then it could lead to a very stressed individual waiting for a review. Thanks Debs -----Original Message----- From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Tristi Brownett Sent: 20 January 2010 10:44 To: [log in to unmask] Subject: Re: [OCC-HEALTH] Hand Held ECG Machines in Lifestyle Screening *** WARNING *** This message has originated outside your organisation, either from an external partner or the Global Internet. Keep this in mind if you answer this message. Hi Jean Our company uses a variety of heart recording devices in lifestyle checks including a hand held 'heart stress' device. I think the main issue with any of these devices, that you do need to be aware of, is that you get a result based on that moment in time and what ever you find you have to act appropriately in accordance with best practice and national guidance. The machines that interpret for you, have a tendency to 'over interpret' the results and do err on the side of caution. What you end up with is an anxious 'well ' person and a GP who has been given extra workload and isn't very happy with you. In isolation the recording device isn't a predictor of future health. Where ever possible we try to explain the pitfalls of this type of health assessment to customers, inevitably for some it's a deal breaker if that's what they set out to purchase. We then have to make both an ethical/clinical versus business discoing whether to proceed. On these occasions it's a judgement call. I haven't really answered your question I know, but do feel that my response gives food for thought. Kind regards Tristi ------------------------------------------------------------------------ -- Tristi Brownett Quality & Assurance Director http://www.premierohc.co.uk/ Tel: 01303 298100 Fax: 01303 298149 Email: mailto:[log in to unmask] Web: http://www.premierohc.co.uk Premier Occupational Healthcare can assist with: - Provision of OH Nurses and Physicians - Management Referrals - Web Based Pre-Employment Screening - Know your numbers Health Check - Health Surveillance Premier Occupational Healthcare Limited is a company registered in England and Wales with company number 3866894. Our Registered Office Address is Premier House, Shearway Business Park, Pent Road, Folkestone, Kent CT19 4RJ VAT number 837 1180 34 The information in this email and any attachments is confidential and intended for the sole use of the addressee(s). 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P Please consider the environment before printing this email. -----Original Message----- From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Jean Fisher Sent: 20 January 2010 10:31 To: [log in to unmask] Subject: [OCC-HEALTH] Hand Held ECG Machines in Lifestyle Screening Hello, We have a client who wants an ECG as part of a lifestyle health screening programme. Whilst trying to talk them out of it, I am also looking at hand held ECG machines as a compromise. Has anyone used these in similar circumstances? Thank you ******************************** Please remove this footer before replying. OCC-HEALTH ARCHIVES: http://www.jiscmail.ac.uk/lists/occ-health.html CONFERENCES AND STUDY DAYS: http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH OCCUPATIONAL HEALTH NURSING EDUCATION http://www.aohne.org.uk ******************************** Please remove this footer before replying. 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