• Arch Emerg Med · Jun 1991

    Clinical Trial Controlled Clinical Trial

    Missed myocardial ischaemia in the accident & emergency department: E.C.G. a need for audit?

    • W A McCallion, P A Templeton, L A McKinney, and J D Higginson.
    • Accident and Emergency Department, Ulster Hospital, Dundonald, Belfast, Northern Ireland.
    • Arch Emerg Med. 1991 Jun 1;8(2):102-7.

    AbstractAccident & Emergency Department Senior House Officers rely heavily on their ECG interpretation skills in the diagnosis and management of patients with chest pain. This prospective double-blind study was designed to test the accuracy with which Accident & Emergency Senior House Officers interpret ECGs, by comparing their interpretation with that of a Consultant Cardiologist. ECGs from 279 of 314 consecutive patients with chest pain were analysed. Ninety per cent of normal electrocardiographs and 57% of abnormal ECGs were correctly interpreted. Despite the inaccurate interpretation of 43% of abnormal ECGs, 96.5% of the patients in the study were considered to have been managed correctly. Audit of all ECGs recorded in the Accident & Emergency Department should be undertaken by someone with experience of ECG interpretation. New A&E staff should receive training in the interpretation of ECGs.

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