Errors of computer electrocardiography.
A review of 6938 computer-generated electrocardiogram interpretations was undertaken by a single cardiologist. The computer-assisted program correctly interpreted 51.6% of the tracings. One or more corrections were necessary in 48.4%. The greatest number of incorrect interpretations involved repolarization (T wave) abnormalities, followed by ST segment changes. It is mandatory that computer-generated ECG interpretations be reviewed by an experienced electrocardiographer. Reliance on nonreviewed ECG interpretations may result in incorrect diagnoses that could lead to inappropriate management decisions.
RuDusky
B M
BM
Northeast Cardiovascular Clinic and Research Institute, Wilkes-Barre, Pennsylvania 18701, USA.
D003951:Diagnostic Errors; D004562:Electrocardiography / Q000295:instrumentation / Q000592:standards* / Q000706:statistics & numerical data; D019544:Equipment Failure Analysis / Q000706:statistics & numerical data; D006801:Humans; D011446:Prospective Studies; D012815:Signal Processing, Computer-Assisted / Q000295:instrumentation*