Do you rely on the machine's ecg diagnosis?
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Cardiology
Do you rely on the machine's ecg diagnosis?
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One of my colleagues sent me this ecg which the machine reported as 'old lateral infarct' - do you agree?
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Forums » Open clinical » Cardiology » Do you rely on the machine's ecg diagnosis?
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Re: Do you rely on the machine's ecg diagnosis?
posted at 19/5/2012 1:18 PM BST
on bmj.com
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Posts: 3045
First: 27/3/2012 Last: 20/5/2013 |
In Response to Re: Do you rely on the machine's ecg diagnosis?: I agree with Ashutosh; the times for PR, QRS and QTc as well as Axes tend to be accurate. Arguable the machines are better at measuring accurately than a human and therefore I do glance at the numbers to make sure the corroborate with my impression. As far as diagnostics, they machine does over interpret the findings and therefore this 'interpretation' isn't helpful at all. Conclusion: Rely on machine's 'measurements', no 'interpretations'. This probably holds true for all devices! Posted by drbanon This is a rewarding action for me for which I must be thankful to drbanon. I do never acquire or perform the ECG by a technician, but always perform it myself, & uptill now I have performed more than five lacks of ECGs, considering the fact that ECG is the most important of all the diagnostic tools! & a slight error, by the machine or human error may account for tremendous degree of loss to the patient. |
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Re: Do you rely on the machine's ecg diagnosis?
posted at 19/5/2012 10:45 PM BST
on bmj.com
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Posts: 271
First: 2/8/2010 Last: 25/5/2013 |
I n Response to Re: Do you rely on the machine's ecg diagnosis?: In Response to Re: Do you rely on the machine's ecg diagnosis? : This is a rewarding action for me for which I must be thankful to drbanon. I do never acquire or perform the ECG by a technician, but always perform it myself, & uptill now I have performed more than five lacks of ECGs, considering the fact that ECG is the most important of all the diagnostic tools! & a slight error, by the machine or human error may account for tremendous degree of loss to the patient. Posted by Dr. K. Ashutosh I think the machines can be useful in a busy departments where there are loads of ECG graphs to interpret, the ones which do not correlate with the clinical picture and diagnostic sense has to be revised in the second ECG graph, if the patient has thyroid disease I will assume atrial fibrillation is correct answer |
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Re: Do you rely on the machine's ecg diagnosis?
posted at 21/5/2012 6:38 AM BST
on bmj.com
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Posts: 878
First: 17/6/2011 Last: 24/5/2013 |
The second ecg is sinus rhythm with artefact - I think this is most clearly seen in the chest leads (the rhythm) and the artefact in the limb leads as one would expect.I also think that the machine's work to an algorithm but tend to over diagnose minor things and sometimes underdiagnose major things. I also look at the measured intervals but then make up my own mind over the rest of the ecg. Purists would say I'm lazy and should do my owm measurements! sadian |
Forums » Open clinical » Cardiology » Do you rely on the machine's ecg diagnosis?
