Approach to ECG Interpretation

2020 ◽  
pp. 469-486
Author(s):  
Geoffrey Southmayd ◽  
David Hirsh
Keyword(s):  
Ecg Interpretation

Methodology of ECG Interpretation in the Padova Program

1990 ◽  
Vol 29 (04) ◽  
pp. 386-392 ◽  
Author(s):  
R. Degani ◽  
G. Bortolan
Keyword(s):  
Decision Making ◽  
Medical School ◽  
Fuzzy Set ◽  
Medical Knowledge ◽  
Main Aspect ◽  
Measurement Evaluation ◽  
Possibility Distributions ◽  
Linguistic Decision Making ◽  
The University ◽  
Ecg Interpretation

AbstractThe main lines ofthe program designed for the interpretation of ECGs, developed in Padova by LADSEB-CNR with the cooperation of the Medical School of the University of Padova are described. In particular, the strategies used for (i) morphology recognition, (ii) measurement evaluation, and (iii) linguistic decision making are illustrated. The main aspect which discerns this program in comparison with other approaches to computerized electrocardiography is its ability of managing the imprecision in both the measurements and the medical knowledge through the use of fuzzy-set methodologies. So-called possibility distributions are used to represent ill-defined parameters as well as threshold limits for diagnostic criteria. In this way, smooth conclusions are derived when the evidence does not support a crisp decision. The influence of the CSE project on the evolution of the Padova program is illustrated.

45. Education at distance: Broadcasting ECG rounds to Southeastern Ontario (BESO Project). An innovative approach for teaching electrocardiography

2007 ◽  
Vol 30 (4) ◽  
pp. 51 ◽  
Author(s):  
A. Baranchuk ◽  
G. Dagnone ◽  
P. Fowler ◽  
M. N. Harrison ◽  
L. Lisnevskaia ◽  
...  
Keyword(s):  
Health Care ◽  
Real Time ◽  
Digital Signal ◽  
Teaching Methodology ◽  
Care Providers ◽  
Long Distance ◽  
Medicine Clerkship ◽  
Time Problem ◽  
The Impact ◽  
Ecg Interpretation

Electrocardiography (ECG) interpretation is an essential skill for physicians as well as for many other health care professionals. Continuing education is necessary to maintain these skills. The process of teaching and learning ECG interpretation is complex and involves both deductive mechanisms and recognition of patterns for different clinical situations (“pattern recognition”). The successful methodologies of interactive sessions and real time problem based learning have never been evaluated with a long distance education model. To evaluate the efficacy of broadcasting ECG rounds to different hospitals in the Southeastern Ontario region; to perform qualitative research to determine the impact of this methodology in developing and maintaining skills in ECG interpretation. ECG rounds are held weekly at Kingston General Hospital and will be transmitted live to Napanee, Belleville, Oshawa, Peterborough and Brockville. The teaching methodology is based on real ECG cases. The audience is invited to analyze the ECG case and the coordinator will introduce comments to guide the case through the proper algorithm. Final interpretation will be achieved emphasizing the deductive process and the relevance of each case. An evaluation will be filled out by each participant at the end of each session. Videoconferencing works through a vast array of internet LANs, WANs, ISDN phone lines, routers, switches, firewalls and Codecs (Coder/Decoder) and bridges. A videoconference Codec takes the analog audio and video signal codes and compresses it into a digital signal and transmits that digital signal to another Codec where the signal is decompressed and retranslated back into analog video and audio. This compression and decompression allows large amounts of data to be transferred across a network at close to real time (384 kbps with 30 frames of video per second). Videoconferencing communication works on voice activation so whichever site is speaking has the floor and is seen by all the participating sites. A continuous presence mode allows each site to have the same visual and audio involvement as the host site. A bridged multipoint can connect between 8 and 12 sites simultaneously. This innovative methodology for teaching ECG will facilitate access to developing and maintaining skills in ECG interpretation for a large number of health care providers. Bertsch TF, Callas PW, Rubin A. Effectiveness of lectures attended via interactive video conferencing versus in-person in preparing third-year internal medicine clerkship students for clinical practice examinations. Teach Learn Med 2007; 19(1):4-8. Yellowlees PM, Hogarth M, Hilty DM. The importance of distributed broadband networks to academic biomedical research and education programs. Acad Psychaitry 2006;30:451-455

Supine Vs. Semi-Recumbent and Upright Twelve-Lead ECG: Does Change in Body Position Alter ECG Interpretation for Ischemia?

2005 ◽  
Vol 46 (3) ◽  
pp. 9
Author(s):  
R.H. Baevsky ◽  
M. Haber ◽  
F. Blank ◽  
H.A. Smithline
Keyword(s):  
Body Position ◽  
Ecg Interpretation

Electrocardiographic interference: know your patient well

2021 ◽  
Vol 31 (3) ◽  
pp. 462-463
Author(s):  
Arjun K. Mahendran ◽  
Philip M. Chang ◽  
Dipankar Gupta
Keyword(s):  
Paediatric Patients ◽  
Ecg Interpretation

AbstractTwo cases of paediatric patients with gastric pacemakers causing distinct electrocardiographic artefact. Recognition of extracardiac artefact is essential for proper ECG interpretation in patients.

scholarly journals Predicting electrocardiogram interpretation performance in Advanced Cardiovascular Life Support simulation: comparing knowledge tests and simulation performance among Mexican medical students

PeerJ ◽  
2019 ◽  
Vol 7 ◽  
pp. e6632 ◽  
Author(s):  
Michael William Smith ◽  
David Abarca Rondero
Keyword(s):  
Medical Students ◽  
Traditional Knowledge ◽  
Test Scores ◽  
Life Support ◽  
Cognitive Tasks ◽  
Knowledge Test ◽  
Simulation Performance ◽  
Electrocardiogram Interpretation ◽  
Ecg Interpretation

Background Simulation plays a key role in assessing performance in Advanced Cardiovascular Life Support (ACLS). Traditional knowledge tests are also important for assessing the cognitive elements of ACLS performance. However, the association between the two has not been established. In this study, we focus on one important element in ACLS—interpretation of electrocardiograms (ECG)—and the potential of knowledge tests to serve as predictors of improvement in ACLS performance. Methods We looked at the correlation between Mexican medical students’ improvement in ECG interpretation performance in ACLS megacode simulations (from the start of the semester to the end of the semester), and their scores on ECG interpretation knowledge tests. Results We found significant improvement in ECG interpretation in ACLS megacode simulation (from pre-semester to post-semester), but this was not predicted by the ECG interpretation knowledge test scores. The correlation was .079 (p = 0.66). Conclusions These results suggest that even cognitive tasks such as ECG interpretation can be expressed and assessed differently in simulation versus traditional knowledge testing.

scholarly journals The acquisition and retention of ECG interpretation skills after a standardized web-based ECG tutorial–a randomised study

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Signe Rolskov Bojsen ◽  
Sune Bernd Emil Werner Räder ◽  
Anders Gaardsdal Holst ◽  
Lars Kayser ◽  
Charlotte Ringsted ◽  
...  
Keyword(s):  
Web Based ◽  
Randomised Study ◽  
Ecg Interpretation

scholarly journals Embedded Programmable Web-based ECG Monitoring & Detection System Using a Fast Algorithm

2016 ◽  
pp. 141-145
Author(s):  
K. Rajamohan ◽  
K.Hanumantha Rao ◽  
T. Malyadri
Keyword(s):  
Critical Care ◽  
Electrical Activity ◽  
Fast Algorithm ◽  
Human Error ◽  
Detection System ◽  
Ecg Monitoring ◽  
Web Based ◽  
Ecg Interpretation ◽  
Ecg Data

The physicians have to interpret this large amount of ECG data to search for only a few abnormal beats in the ECG. Physicians may overlook some abnormal cycles due to fatigue and human error in interpreting such a large amount of data. Therefore, there is an urgent need for an automatic ECG interpreting system to help to reduce the burden of ECG interpretation. This proposed system is expected to monitor the electrical activity of heart of the patient under critical care more conveniently and accurately for diagnosing.

scholarly journals Common ECG Lead Placement Errors. Part II: Precordial Misplacements

2014 ◽  
Vol 2 (3) ◽  
pp. 99-103 ◽  
Author(s):  
Allison V. Rosen ◽  
Sahil Koppikar ◽  
Catherine Shaw ◽  
Adrian Baranchuk
Keyword(s):  
Healthy Subject ◽  
Patient Care ◽  
Diagnostic Tool ◽  
Pathological Findings ◽  
Precordial Lead ◽  
Single Male ◽  
Lead Placement ◽  
Optimal Patient Care ◽  
Ecg Leads ◽  
Ecg Interpretation

Background: Electrocardiography is a very useful diagnostic tool. However, errors in placement of ECG leads can create artifacts, mimic pathologies, and hinder proper ECG interpretation. This is the second of a two-part series discussing how to recognize and avoid these errors. Methods: 12-lead ECGs were recorded in a single male healthy subject in his mid 20s. Various precordial lead misplacements were compared to ECG recordings from correct lead placement. Results: Precordial misplacements caused classical changes in ECG patterns. Techniques of differentiating these ECG patterns from true pathological findings were described. Conclusion: As in Part I of this series, recognition and interpretation of common ECG placement errors is critical in providing optimal patient care.

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