Computer-Interpreted Electrocardiograms: Benefits and Limitations.

Détails

ID Serval
serval:BIB_BFCF06B1B49D
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Titre
Computer-Interpreted Electrocardiograms: Benefits and Limitations.
Périodique
Journal of the American College of Cardiology
Auteur(s)
Schläpfer J., Wellens H.J.
ISSN
1558-3597 (Electronic)
ISSN-L
0735-1097
Statut éditorial
Publié
Date de publication
29/08/2017
Peer-reviewed
Oui
Volume
70
Numéro
9
Pages
1183-1192
Langue
anglais
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Résumé
Computerized interpretation of the electrocardiogram (CIE) was introduced to improve the correct interpretation of the electrocardiogram (ECG), facilitating health care decision making and reducing costs. Worldwide, millions of ECGs are recorded annually, with the majority automatically analyzed, followed by an immediate interpretation. Limitations in the diagnostic accuracy of CIE were soon recognized and still persist, despite ongoing improvement in ECG algorithms. Unfortunately, inexperienced physicians ordering the ECG may fail to recognize interpretation mistakes and accept the automated diagnosis without criticism. Clinical mismanagement may result, with the risk of exposing patients to useless investigations or potentially dangerous treatment. Consequently, CIE over-reading and confirmation by an experienced ECG reader are essential and are repeatedly recommended in published reports. Implementation of new ECG knowledge is also important. The current status of automated ECG interpretation is reviewed, with suggestions for improvement.

Mots-clé
Algorithms, Cardiovascular Diseases/diagnosis, Diagnosis, Computer-Assisted/standards, Electrocardiography, Humans, Reproducibility of Results, Software, algorithms, software
Pubmed
Web of science
Création de la notice
31/08/2017 8:19
Dernière modification de la notice
20/08/2019 16:34
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