ECG interpretation during the acute phase of coronary syndromes: In need of improvement?

Swiss Medical Weekly

Volumn 134, Issue 47-48, 2004, Pages 695-699

  Berger, Alexandre ^a   Meier, Jean Marc ^a   Stauffer, Jean Christophe ^a   Eckert, Philippe ^a   Schlaepfer, Jürg ^a   Gillis, Dominique ^a   Cornuz, Jacques ^a   Yersin, Bertrand ^a   Schaller, Marie Denise ^a   Kappenberger, Lukas ^a   Wasserfallen, Jean Blaise ^a  

^a LAUSANNE UNIVERSITY HOSPITAL   (Switzerland)

Author keywords

Acute coronary syndromes; Electrocardiogram interpretation; Risk stratification

Indexed keywords

ADULT; AGED; ARTICLE; DATA ANALYSIS; ELECTROCARDIOGRAPHY; EMERGENCY; EMERGENCY ROOM PHYSICIAN; EMERGENCY WARD; FEMALE; HEART MUSCLE ISCHEMIA; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL EDUCATION; MEDICAL SPECIALIST; RELIABILITY; RISK ASSESSMENT; ST SEGMENT DEPRESSION; ST SEGMENT ELEVATION; T WAVE; TEACHING HOSPITAL;

EID: 19944387897     PISSN: 14247860     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (15)

1. Lee H, Rouan GW, Weisberg MC. Clinical characteristics and natural history of patients with acute myocardial infarction sent home from the emergency room. Am J Cardiol 1987;6:219-24.
2. Rusnak RA, Stair TO, Hansen K. Litigation against the emergency physician: common features in cases of missed myocardial infarction. Ann Emerg Med 1989;18:1029-34.
3. Brady WJ, Perron A, Ullman E. Errors in emergency physician interpretation of ST-segment elevation in emergency department chest pain patients. Acad Emerg Med 2000;7:1256-60.
4. Cannon CP, McCabe CH, Stone PH, Rogers WJ, Schactman M, Thompson BW, et al. The electrocardiogram predicts one-year outcome of patients with unstable angina and non-Q wave myocardial infarction: results of the TIMI III Registry ECG Ancillary Study: Thrombolysis in Myocardial Ischemia. J Am Coll Cardiol 1997;30:133-40.
5. Savonitto S, Ardissino D, Granger CB, Morando G, Prando MD, Mafrici A, et al. Prognostic value of the admission electrocardiogram in acute coronary syndromes. JAMA 1999;281:707-13.
6. ACC/AHA guidelines for the management of patients with unstable angina and non-ST segment elevation myocardial infarction. J Am Coll Cardiol 2000;36:971-1044.
7. The Task Force of the European Society of Cardiology and American College of Cardiology. Management of acute coronary syndromes: acute coronary syndromes without persistent ST segment elevation. Eur Heart J 2000;21:1406-32.
8. Wasserfallen JB, Berger A, Eckert P, Stauffer JC, Schlaepfer J, Gillis D, et al. Impact of medical practice guidelines on assessment of patients with acute coronary syndrome without persistent ST segment elevation. Int J Qual Health Care 2004; in press.
9. Snoey ER, Housset B, Guyon P, ElHaddad S, Valty J, Hericord P. Analysis of emergency department interpretation of electrocardiograms. J Acc Emerg Med 1994;11:149-53.
10. Morrison WG, Swann IJ. Electrocardiograph interpretation by junior doctors. Arch Emerg Med. 1990;7:108-10.
11. Holmwang L, Hasbak P, Clemmensen P, Wagner G, Grande P. Differences between local investigator and core-laboratory interpretation of the admission electrocardiogram in patients with unstable angina pectoris or non-Q-wave myocardial infarction. Am J Cardiol 1998;82:54-60.
12. Brady WJ, Perron AD, Martin ML, Beagle C, Aufderheide TP. Cause of ST segment abnormality in ED chest pain patients. Am J Emerg Med 2001;19:25-8.
13. Lau J, Ioannidis JP, Balk EM, Milch C, Terrin N, Chew PW, et al. Diagnosing acute cardiac ischemia in the emergency department: a systematic review of the accuracy and clinical effect of current technologies. Ann Emerg Med 2001;37:453-60.
14. Salerno SM, Alguire PC, Waxman HS. Competency in interpretation of 12-lead electrocardiograms: a summary and appraisal of published evidence. Ann Intern Med 2003;138:751-60.
15. Salerno SM, Alguire PC, Waxman HS. Training and competency evaluation for interpretation of 12-lead electrocardiograms: recommandations from the American College of Physicians. Ann Intern Med 2003;138:747-50.