Featured Research

from universities, journals, and other organizations

Accuracy and reliability of ecg interpretation by physicians is limited, study suggests

Date:
April 19, 2013
Source:
American Medical Society for Sports Medicine
Summary:
Incorporating an electrocardiogram (ECG) during pre-participation screening for athletes has demonstrated a reduction in incidence of sudden cardiac death (SCD); however, it remains controversial in the United States due to minimal usage and high false-positive readings. New research suggests this is due to the challenges in the accuracy and reliability of physicians’ ability to read ECGs.

Incorporating an electrocardiogram (ECG) during pre-participation screening for athletes has demonstrated a reduction in incidence of sudden cardiac death (SCD); however, it remains controversial in the United States due to minimal usage and high false-positive readings. New research presented this week suggests this is due to the challenges in the accuracy and reliability of physicians' ability to read ECGs.

Francis G. O'Connor MD, MPH, Medical Director, Consortium for Health And Military Performance (CHAMP) and Professor of Military and Emergency Medicine, Uniformed Services University of the Health Sciences, will present research entitled, "Reliability and validity of clinician electrocardiogram interpretation using the European Society of Cardiology criteria for pre-participation screening" on Friday, April 19, 2013 at the American Medical Society for Sports Medicine's 22nd Annual Meeting in San Diego, Ca. The study was conducted in conjunction with AMSSM member Charles Magee, MD, MPH, and other researchers of the Uniformed Services University of the Health Sciences.

Both cardiologists and primary care physicians, including primary care sports medicine physicians, were asked to interpret 85 different ECGs using the European Society of Cardiology (ESC) guidelines. Notably, 30 percent of the ECGs showed abnormal common disorders that cause sudden cardiac death. Agreement among physicians was moderate, demonstrating that interpretation of ECGs in a population representative of athletes by board certified primary care and cardiology specialists is limited.

Currently, ECGs are not a required component of mass pre-participation screenings for athletes; however, adding this screening to the pre-participation exams could potentially help identify predictors of sudden cardiac death, the number one killer of athletes. Dr. O'Connor stated that "improvement in diagnostic accuracy of ECG interpretation is warranted before considering the recommendation of routine ECG screening in athletes." Dr. O'Connor added, "Until then, we need to recognize that identifying abnormal from normal is not as easy as it may seem."

A Colonel in the United States Army, Dr. O'Connor is a graduate of the United States Military Academy at West Point, and prior to his recent posting at Uniformed Services University in the Department of Military Medicine, he served one year as a Command Surgeon with Special Operations in the Middle East. Dr. O'Connor has authored more than 30 articles in scientific journals and numerous book chapters/technical reports/health promotion resources for the military. In addition, Dr. O'Connor is the editor of four texts on sports medicine, including the Textbook of Running Medicine and the recently published ACSM's Sports Medicine: A Comprehensive Review. Dr. O'Connor is a past President of AMSSM.

Timing of the study coincides with global advances in ECG interpretation happening this week. On Monday, April 15, 2013, AMSSM, in association with BMJ Learning and the British Journal of Sports Medicine, released new online training modules developed and written by international experts in sports medicine and sports cardiology to guide physicians on how to recognize ECG changes that indicate problems rather than healthy cardiac adaptation. The tutorials, which are free to any doctor around the globe, thanks to the backing of AMSSM and FIFA, aim to teach physicians how to read heart monitor tracings (ECGs) and spot abnormalities linked to potentially fatal disorders.


Story Source:

The above story is based on materials provided by American Medical Society for Sports Medicine. Note: Materials may be edited for content and length.


Cite This Page:

American Medical Society for Sports Medicine. "Accuracy and reliability of ecg interpretation by physicians is limited, study suggests." ScienceDaily. ScienceDaily, 19 April 2013. <www.sciencedaily.com/releases/2013/04/130419132511.htm>.
American Medical Society for Sports Medicine. (2013, April 19). Accuracy and reliability of ecg interpretation by physicians is limited, study suggests. ScienceDaily. Retrieved July 22, 2014 from www.sciencedaily.com/releases/2013/04/130419132511.htm
American Medical Society for Sports Medicine. "Accuracy and reliability of ecg interpretation by physicians is limited, study suggests." ScienceDaily. www.sciencedaily.com/releases/2013/04/130419132511.htm (accessed July 22, 2014).

Share This




More Science & Society News

Tuesday, July 22, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Courts Conflicted Over Healthcare Law

Courts Conflicted Over Healthcare Law

AP (July 22, 2014) Two federal appeals courts issued conflicting rulings Tuesday on the legality of the federally-run healthcare exchange that operates in 36 states. (July 22) Video provided by AP
Powered by NewsLook.com
What Self-Made Women Need to Know Financially Before Getting Hitched

What Self-Made Women Need to Know Financially Before Getting Hitched

TheStreet (July 21, 2014) Halle Berry was recently ordered to pay her ex-boyfriend Gabriel Aubry $16,000 a month in child support by a California judge for their daughter Nahla. As women make strides in the workforce, they are increasingly left holding the bag when relationships end regardless of marital status. 'What Monied Women Need to Know Before Getting Married or Cohabitating' discusses information such as debt incurred during the marriage is both spouse's responsibility at divorce, whether after ten years of marriage spouses are entitled to half of everything and why property acquired within the marriage is fair game without a pre-nup. Video provided by TheStreet
Powered by NewsLook.com
$23.6 Billion Awarded To Widow In Smoking Lawsuit

$23.6 Billion Awarded To Widow In Smoking Lawsuit

Newsy (July 20, 2014) Cynthia Robinson claims R.J. Reynolds Tobacco Company hid the health and addiction risks of its products, leading to the death of her husband in 1996. Video provided by Newsy
Powered by NewsLook.com
Clock Ticks Down on Internet Speed Debate

Clock Ticks Down on Internet Speed Debate

Reuters - US Online Video (July 18, 2014) The FCC received more than 800,000 comments on whether and how internet speeds should be regulated, even crashing its system. Lily Jamali reports. Video provided by Reuters
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins