Computer-Generated ECG Interpretation Challenge

被引:1
作者
Colio, Pedro A. [1 ,2 ,3 ,6 ]
Palakodeti, Vachaspathi [4 ,5 ]
机构
[1] El Ctr Reg Med Ctr, El Ctr, CA USA
[2] Imperial Valley Coll, Imperial, CA USA
[3] Univ San Diego, San Diego, CA USA
[4] Univ Calif San Diego, San Diego, CA USA
[5] Imperial Cardiac & Vasc Ctr, Imperial, CA USA
[6] Ctr Reg Med Ctr, Emergency Room,1415 Ross Ave, El Ctr, CA 92243 USA
关键词
Computer-generated ECG; ECG; ECG reports; 12-Lead ECG; PATHOPHYSIOLOGY; DIAGNOSIS;
D O I
10.1097/TME.0000000000000461
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
The predictive accuracy of 12-lead electrocardiogram (ECG) machines is often challenged across all clinical settings. Emergency clinicians must beware of computer-generated ECG reports specifically during the initial medical screening process. Blindly trusting computer-generated reports may delay care for patients with an acute cardiac disorder. Cardiology consultation is always advised, and there should be no hesitation when it comes to abnormal ECGs. However, cardiologists are often consulted on patients based on incorrect ECG interpretation, misdiagnosis, or overdiagnosis by computer-generated reports. The following 12-lead ECGs should encourage emergency providers to take caution and challenge computer-generated reports. The purpose of this exercise is to carefully review a set of 12-lead ECGs and determine whether the computer-generated interpretations are accurate.
引用
收藏
页码:131 / 137
页数:7
相关论文
共 15 条
[1]   Accuracy of Physicians' Electrocardiogram Interpretations A Systematic Review and Meta-analysis [J].
Cook, David A. ;
Oh, So-Young ;
Pusic, Martin V. .
JAMA INTERNAL MEDICINE, 2020, 180 (11) :1461-1471
[2]   Performance and limitations of automated ECG interpretation statements in patients with suspected acute coronary syndrome [J].
Faramand, Ziad ;
Helman, Stephanie ;
Ahmad, Abdullah ;
Martin-Gill, Christian ;
Callaway, Clifton ;
Saba, Samir ;
Gregg, Richard E. ;
Wang, John ;
Al-Zaiti, Salah .
JOURNAL OF ELECTROCARDIOLOGY, 2021, 69 :45-50
[3]   Prognostic Accuracy of the HEART Score for Prediction of Major Adverse Cardiac Events in Patients Presenting With Chest Pain: A Systematic Review and Meta-analysis [J].
Fernando, Shannon M. ;
Tran, Alexandre ;
Cheng, Wei ;
Rochwerg, Bram ;
Taljaard, Monica ;
Thiruganasambandamoorthy, Venkatesh ;
Kyeremanteng, Kwadwo ;
Perry, Jeffrey J. .
ACADEMIC EMERGENCY MEDICINE, 2019, 26 (02) :140-151
[4]   Left bundle-branch block - Pathophysiology, prognosis, and clinical management [J].
Francia, Pietro ;
Balla, Cristina ;
Paneni, Francesco ;
Volpe, Massimo .
CLINICAL CARDIOLOGY, 2007, 30 (03) :110-115
[5]   ACC/AHA/HRS Versus ESC Guidelines for the Diagnosis and Management of Syncope JACC Guideline Comparison [J].
Goldberger, Zachary D. ;
Petek, Bradley J. ;
Brignole, Michele ;
Shen, Win-Kuang ;
Sheldon, Robert S. ;
Solbiati, Monica ;
Deharo, Jean-Claude ;
Moya, Angel ;
Hamdan, Mohamed H. .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2019, 74 (19) :2410-2423
[6]   The Wenckebach Phenomenon [J].
Hansom, Simon P. ;
Golian, Mehrdad ;
Green, Martin S. .
CURRENT CARDIOLOGY REVIEWS, 2021, 17 (01) :10-16
[7]   Comparing physicians and experienced advanced practice practitioners on the interpretation of electrocardiograms in the emergency department [J].
Hoang, Alexander ;
Singh, Amarinder ;
Singh, Amandeep .
AMERICAN JOURNAL OF EMERGENCY MEDICINE, 2021, 40 :145-147
[8]   PHYSICIAN ELECTROCARDIOGRAM READING IN THE EMERGENCY DEPARTMENT - ACCURACY AND EFFECT ON TRIAGE DECISIONS - FINDINGS FROM A MULTICENTER STUDY [J].
JAYES, RL ;
LARSEN, GC ;
BESHANSKY, JR ;
DAGOSTINO, RB ;
SELKER, HP .
JOURNAL OF GENERAL INTERNAL MEDICINE, 1992, 7 (04) :387-392
[9]  
Jerrard G., 2019, PACEMAKER BASICS EME
[10]   Atrial fibrillation: classification, pathophysiology, mechanisms and drug treatment [J].
Markides, V ;
Schilling, RJ .
HEART, 2003, 89 (08) :939-943