Literature DB >> 28948288

Rhythmic chaos: irregularities of computer ECG diagnosis.

Yi-Ting Laureen Wang1, Swee-Chong Seow1,2, Devinder Singh1, Kian-Keong Poh1,2, Ping Chai1,2.   

Abstract

Diagnostic errors can occur when physicians rely solely on computer electrocardiogram interpretation. Cardiologists often receive referrals for computer misdiagnoses of atrial fibrillation. Patients may have been inappropriately anticoagulated for pseudo atrial fibrillation. Anticoagulation carries significant risks, and such errors may carry a high cost. Have we become overreliant on machines and technology? In this article, we illustrate three such cases and briefly discuss how we can reduce these errors. Copyright: © Singapore Medical Association.

Entities:  

Keywords:  artefacts; atrial fibrillation; computer interpretation; electrocardiography

Mesh：

Substances：

Year:  2017        PMID： 28948288      PMCID： PMC5605822          DOI： 10.11622/smedj.2017088

Source DB:  PubMed          Journal:  Singapore Med J        ISSN： 0037-5675            Impact factor:   1.858


  11 in total

Review 1.  Competency in interpretation of 12-lead electrocardiograms: a summary and appraisal of published evidence.

Authors:  Stephen M Salerno; Patrick C Alguire; Herbert S Waxman
Journal:  Ann Intern Med       Date:  2003-05-06       Impact factor: 25.391

2.  Computer decision support as a source of interpretation error: the case of electrocardiograms.

Authors:  Theodore L Tsai; Douglas B Fridsma; Guido Gatti
Journal:  J Am Med Inform Assoc       Date:  2003-06-04       Impact factor: 4.497

3.  Erroneous computer electrocardiogram interpretation of atrial fibrillation and its clinical consequences.

Authors:  Myung Hwan Bae; Jang Hoon Lee; Dong Heon Yang; Hun Sik Park; Yongkeun Cho; Shung Chull Chae; Jae-Eun Jun
Journal:  Clin Cardiol       Date:  2012-05-29       Impact factor: 2.882

4.  Enhancement of clinicians' diagnostic reasoning by computer-based consultation: a multisite study of 2 systems.

Authors:  C P Friedman; A S Elstein; F M Wolf; G C Murphy; T M Franz; P S Heckerling; P L Fine; T M Miller; V Abraham
Journal:  JAMA       Date:  1999-11-17       Impact factor: 56.272

5.  Misdiagnosis of atrial fibrillation and its clinical consequences.

Authors:  Frank Bogun; Daejoon Anh; Gautham Kalahasty; Erik Wissner; Chadi Bou Serhal; Rabih Bazzi; W Douglas Weaver; Claudio Schuger
Journal:  Am J Med       Date:  2004-11-01       Impact factor: 4.965

6.  Causes of errors in the electrocardiographic diagnosis of atrial fibrillation by physicians.

Authors:  Jorge Mario Davidenko; Lisa Simonettta Snyder
Journal:  J Electrocardiol       Date:  2007-02-22       Impact factor: 1.438

7.  Refining clinical risk stratification for predicting stroke and thromboembolism in atrial fibrillation using a novel risk factor-based approach: the euro heart survey on atrial fibrillation.

Authors:  Gregory Y H Lip; Robby Nieuwlaat; Ron Pisters; Deirdre A Lane; Harry J G M Crijns
Journal:  Chest       Date:  2009-09-17       Impact factor: 9.410

8.  The effects of computer-assisted electrocardiographic interpretation on physicians' diagnostic decisions.

Authors:  S D Hillson; D P Connelly; Y Liu
Journal:  Med Decis Making       Date:  1995 Apr-Jun       Impact factor: 2.583

9.  The diagnostic performance of computer programs for the interpretation of electrocardiograms.

Authors:  J L Willems; C Abreu-Lima; P Arnaud; J H van Bemmel; C Brohet; R Degani; B Denis; J Gehring; I Graham; G van Herpen
Journal:  N Engl J Med       Date:  1991-12-19       Impact factor: 91.245

10.  Electrocardiographic artefacts mimicking atrial tachycardia resulted in unnecessary diagnostic and therapeutic measures.

Authors:  Shams Y-Hassan; Christer Sylvén
Journal:  Korean J Intern Med       Date:  2013-02-27       Impact factor: 2.884
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