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Accuracy of blinded clinician interpretation of single-lead smartphone electrocardiograms and a proposed clinical workflow
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ORCID: 0000-0002-9086-2565, Wong, MC, Pham, CB, Cooray, SP, Khavar, Y, Roberts, L, Cooke, JC and Teh, AW 2018
, 'Accuracy of blinded clinician interpretation of single-lead smartphone electrocardiograms and a proposed clinical workflow'
, American Heart Journal, vol. 205
, pp. 149-153
, doi: 10.1016/j.ahj.2018.08.001.
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Abstract
Despite the appeal of smartphone-based electrocardiograms (ECGs) for arrhythmia screening, a paucity of data exists on the accuracy of primary care physicians' and cardiologists' interpretation of tracings compared with the device's automated diagnosis. Using 408 ECGs in 51 patients, we demonstrate a variable accuracy in clinician interpretation of smartphone-based ECGs, with only cardiologists demonstrating satisfactory agreement when referenced against a 12-lead ECG. Combining the device automated diagnostic algorithm with cardiologist interpretation of only uninterpretable traces yielded excellent results and provides an efficient, cost-effective workflow for the utilization of a smartphone-based ECG in clinical practice.
| Item Type: | Article |
|---|---|
| Authors/Creators: | Koshy, AN and Sajeev, JK and Negishi, K and Wong, MC and Pham, CB and Cooray, SP and Khavar, Y and Roberts, L and Cooke, JC and Teh, AW |
| Journal or Publication Title: | American Heart Journal |
| Publisher: | Mosby |
| ISSN: | 0002-8703 |
| DOI / ID Number: | 10.1016/j.ahj.2018.08.001 |
| Copyright Information: | Copyright 2018 Elsevier Inc. |
| Related URLs: | |
| Item Statistics: | View statistics for this item |
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