About My Health Careers Internship MedBlogs Contact us
Medindia LOGIN REGISTER
Advertisement

Accuracy and Reliability of ECG Interpretation by Physicians is Limited: Research

by Bidita Debnath on April 24, 2013 at 8:31 PM
Font : A-A+

 Accuracy and Reliability of ECG Interpretation by Physicians is Limited: Research

For athletes, incorporating an electrocardiogram (ECG) during pre-participation screening has demonstrated a reduction in incidence of sudden cardiac death (SCD).

However, it remains controversial in the United States due to minimal usage and high false-positive readings. New research presented this week suggests this is due to the challenges in the accuracy and reliability of physicians' ability to read ECGs.

Advertisement

Francis G. O'Connor MD, MPH, Medical Director, Consortium for Health And Military Performance (CHAMP) and Professor of Military and Emergency Medicine, Uniformed Services University of the Health Sciences, will present research entitled, "Reliability and validity of clinician electrocardiogram interpretation using the European Society of Cardiology criteria for pre-participation screening" on Friday, April 19, 2013 at the American Medical Society for Sports Medicine's 22nd Annual Meeting in San Diego, Ca. The study was conducted in conjunction with AMSSM member Charles Magee, MD, MPH, and other researchers of the Uniformed Services University of the Health Sciences.

Both cardiologists and primary care physicians, including primary care sports medicine physicians, were asked to interpret 85 different ECGs using the European Society of Cardiology (ESC) guidelines. Notably, 30 percent of the ECGs showed abnormal common disorders that cause sudden cardiac death. Agreement among physicians was moderate, demonstrating that interpretation of ECGs in a population representative of athletes by board certified primary care and cardiology specialists is limited.
Advertisement

Currently, ECGs are not a required component of mass pre-participation screenings for athletes; however, adding this screening to the pre-participation exams could potentially help identify predictors of sudden cardiac death, the number one killer of athletes. Dr. O'Connor stated that "improvement in diagnostic accuracy of ECG interpretation is warranted before considering the recommendation of routine ECG screening in athletes." Dr. O'Connor added, "Until then, we need to recognize that identifying abnormal from normal is not as easy as it may seem."

A Colonel in the United States Army, Dr. O'Connor is a graduate of the United States Military Academy at West Point, and prior to his recent posting at Uniformed Services University in the Department of Military Medicine, he served one year as a Command Surgeon with Special Operations in the Middle East. Dr. O'Connor has authored more than 30 articles in scientific journals and numerous book chapters/technical reports/health promotion resources for the military. In addition, Dr. O'Connor is the editor of four texts on sports medicine, including the Textbook of Running Medicine and the recently published ACSM's Sports Medicine: A Comprehensive Review. Dr. O'Connor is a past President of AMSSM.

Timing of the study coincides with global advances in ECG interpretation happening this week. On Monday, April 15, 2013, AMSSM, in association with BMJ Learning and the British Journal of Sports Medicine, released new online training modules developed and written by international experts in sports medicine and sports cardiology to guide physicians on how to recognize ECG changes that indicate problems rather than healthy cardiac adaptation. The tutorials, which are free to any doctor around the globe, thanks to the backing of AMSSM and FIFA, aim to teach physicians how to read heart monitor tracings (ECGs) and spot abnormalities linked to potentially fatal disorders.

About the AMSSM: The AMSSM is a multi-disciplinary organization of sports medicine physicians whose members are dedicated to education, research, advocacy, and the care of athletes of all ages. Founded in 1991, the AMSSM is now comprised of more than 2,300 sports medicine physicians whose goal is to provide a link between the rapidly expanding core of knowledge related to sports medicine and its application to patients in a clinical setting.

Source: Newswise
Advertisement

Advertisement
News A-Z
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
News Category
What's New on Medindia
Health Benefits of Sea Buckthorn
Contraceptive Pills in Polycystic Ovary Syndrome (PCOS) Curtail Type 2 Diabetes Risk
Mushroom May Help Cut Down the Odds of Developing Depression
View all

Medindia Newsletters Subscribe to our Free Newsletters!
Terms & Conditions and Privacy Policy.

More News on:
Heart Attack Mitral Valve Prolapse Electrocardiogram Implantable Loop Recorder Brugada Syndrome 

Recommended Reading
Study Supports Electrocardiogram Test for Athletes
A new research supports the involvement of electrocardiogram tests in the pre-participation exams .....
Rates of Sudden Cardiac Death in Athletes Could Be Reduced With The Help of New Training Package
There has only been slow progress on curbing the leading killer of athletes sudden cardiac death, .....
Breathing Problem Misdiagnosed in Elite Athletes
Elite athletes with a vocal cord disorder are more likely to be misdiagnosed and treated for ......
Depression More Likely to Hit College Athletes Than Retired Athletes
Depression levels were found to be significantly higher in current athletes as compared to former .....
Brugada Syndrome
Brugada syndrome is a rare genetic heart condition that affects the way electrical signals pass thro...
Electrocardiogram
An ECG is a diagnostic test that records the electrical activity of the heart and helps to detect ca...
Heart Attack
Heart attack is the death of the heart muscle due to loss of blood supply. Heart disease is the lead...
Implantable Loop Recorder
Implantable Loop Recorder is a small implantable device which monitors and records the electrical he...
Mitral Valve Prolapse
Mitral Valve Prolapse is a relatively common condition and causes leakage of blood through the valve...

Disclaimer - All information and content on this site are for information and educational purposes only. The information should not be used for either diagnosis or treatment or both for any health related problem or disease. Always seek the advice of a qualified physician for medical diagnosis and treatment. Full Disclaimer

© All Rights Reserved 1997 - 2021

This site uses cookies to deliver our services. By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use