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 29, 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 29, 2014).

Share This




More Science & Society News

Tuesday, July 29, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

$15B Deal on Vets' Health Care Reached

$15B Deal on Vets' Health Care Reached

AP (July 28, 2014) A bipartisan deal to improve veterans health care would authorize at least $15 billion in emergency spending to fix a veterans program scandalized by long patient wait times and falsified records. (July 28) Video provided by AP
Powered by NewsLook.com
The Carbon Trap: US Exports Global Warming

The Carbon Trap: US Exports Global Warming

AP (July 28, 2014) AP Investigation: As the Obama administration weans the country off dirty fuels, energy companies are ramping-up overseas coal exports at a heavy price. (July 28) Video provided by AP
Powered by NewsLook.com
Russia Saves Gecko Sex Satellite, Media Has Some Fun With It

Russia Saves Gecko Sex Satellite, Media Has Some Fun With It

Newsy (July 27, 2014) The satellite is back under ground control after a tense few days, but with a gecko sex experiment on board, the media just couldn't help themselves. Video provided by Newsy
Powered by NewsLook.com
Cellphone Unlocking Bill Clears U.S. House, Heads to Obama

Cellphone Unlocking Bill Clears U.S. House, Heads to Obama

Reuters - US Online Video (July 27, 2014) Congress gets rid of pesky law that made it illegal to "unlock" mobile phones without permission, giving consumers the option to use the same phone on a competitor's wireless network. Mana Rabiee 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