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European Heart Journal Advance Access published online on December 8, 2007
European Heart Journal, doi:10.1093/eurheartj/ehm573
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

Interpretation of the electrocardiogram: clinical correlation suggested

William J. Brady* and Robert E. O'Connor

Department of Emergency Medicine, University of Virginia, Charlottesville, VA 22911, USA

* Corresponding author: Tel: +1 4344651816, Fax: +1 4349242877. Email: wb4z@hscmail.mcc.virginia.edu

This editorial refers to ‘Local hospital vs. core-laboratory interpretation of the admission electrocardiogram in acute coronary syndromes: increased mortality in patients with unrecognized ST-elevation myocardial infarction’ by R. Vijayaraghavan et al. doi:10.1093/eurheartj/ehm509

The first 150 words of the full text of this article appear below.

Vijayaraghavan et al. have investigated the interpretation of the initial 12-lead electrocardiogram (ECG) in acute coronary syndrome (ACS) patients, focusing on the patient with potential ST segment elevation myocardial infarction (STEMI).1 The authors emphasize the importance of accurate ECG interpretation by the acute care physician (i.e. emergency physician, internist, and cardiologist).1

The authors compared the initial interpretation of the initial admission ECG by the treating physician with the interpretation of the same tracing by a physician at the core electrocardiographic laboratory. The ECG interpreters at the site were acute care physicians (emergency physician, internist, and cardiologist); at the core lab, the ECG was interpreted by non-cardiologist physicians using specific definitions of abnormality—in this case, ST segment elevation was defined as >0.1 mV in two contiguous leads. The subgroup of patients used in the study were taken from the Canadian ACS Registry and comprised 1310 patients, of which 1202 had complete . . . [Full Text of this Article]


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