Title:


Electrocardiogram interpretation skills among healthcare professional and related factors: A Review on Myocardial Infraction cases


Author:


Mail Google Scholar Dwi Prihatiningsih(1*)
Mail Alison Hutton(2)

(1) Universitas 'Aisyiyah Yogyakarta, Indonesia
(2) Flinders University, Sturt Rd Bedford P ark, South Australia 5042, Australia, Australia
(*) Corresponding Author
10.31101/jhtam.796| Abstract views : 1054 | PDF views : 349

Abstract


Acute Coronary Syndrome (ACS) is a major cause of death and disability worldwide. In spite of the advance of many other diagnostic techniques of biomarkers and imaging, the 12-lead electrocardiogram (ECG) remains the gold standard for early identification and management of ACS. The aim of this study was to determine the HCPs interpretation skills on 12 lead ECG especially in Myocardial Infarction cases. Primary research of ECG interpretation skill of HCPs and related factors were identified by searching electronic databases and bibliographies. Sixteen articles were identified based on inclusion and exclusion criteria. Variations were found on ECG interpretations among HCPs. Moreover it was found that training, experience & seniority and AMI mimicking pattern influence ECG interpretation skills among HCPs and decision making for thrombolytic therapy.


Keywords


Electrocardiogram; Interpretation; Skills; Myocardial Infaction; Health care professional

Full Text:

PDF

References


Amsterdam, E. A., Zieman, S. J., Levine, G. N., Kontos, M. C., Brindis, R. G., Jaffe, A. S., … Ganiats, T. G. (2014). 2014 AHA/ACC Guideline for the Management of Patients With Non–ST-Elevation Acute Coronary Syndromes: Executive Summary. In Circulation (Vol. 130). https://doi.org/10.1161/cir.0000000000000133

Berger, J. S., Eisen, L., Nozad, V., D’Angelo, J., Calderon, Y., Brown, D. L., & Schweitzer, P. (2005). Competency in electrocardiogram interpretation among internal medicine and emergency medicine residents. American Journal of Medicine, 118(8), 873–880. https://doi.org/10.1016/j.amjmed.2004.12.004

Birnbaum, Y., Wilson, J. M., Fiol, M., de Luna, A. B., Eskola, M., & Nikus, K. (2013). ECG Diagnosis and Classification of Acute Coronary Syndromes. Annals of Noninvasive Electrocardiology, 19(1), 4–14. https://doi.org/10.1111/anec.12130

Boltri, J. M., Hash, R. B., & Vogel, R. L. (2003). Are family practice residents able to interpret electrocardiograms? Advances in Health Sciences Education, 8(2), 149–153. https://doi.org/10.1023/A:1024943613613

Brady, W. J., Perron, A. D., & Chan, T. (2001). Electrocardiographic ST-segment elevation: Correct identification of acute myocardial infarction (AMI) and non-AMI syndromes by emergency physicians. Academic Emergency Medicine, 8(4), 349–360. Retrieved from http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emed5&NEWS=N&AN=2001144638

De Jager, J., Wallis, L., & Maritz, D. (2010). ECG interpretation skills of South African Emergency Medicine residents. International Journal of Emergency Medicine, 3(4), 309–314. https://doi.org/10.1007/s12245-010-0227-3

Drew, B. J., Califf, R. M., Funk, M., Kaufman, E. S., Krucoff, M. W., Laks, M. M., … Hare, G. F. Van. (2005). Practice Standards for Electrocardiographic An American Heart Association Scientific Statement From the Councils on Cardiovascular Nursing , Clinical Cardiology , and Cardiovascular Disease in the Young : Endorsed by the International Society of Computeri. In Journal of Cardiovascular Nursing (Vol. 20).

Feldman, J. A., Brinsfield, K., Bernard, S., White, D., & MacIejko, T. (2005). Real-time paramedic compared with blinded physician identification of ST-segment elevation myocardial infarction: Results of an observational study. American Journal of Emergency Medicine, 23(4), 443–448. https://doi.org/10.1016/j.ajem.2004.10.011

Hodzic, E., Perla, S., Iglica, A., & Vucijak, M. (2018). Seasonal Incidence of Acute Coronary Syndrome and Its Features. Materia Socio Medica, 30(1), 10. https://doi.org/10.5455/msm.2018.30.10-14

Hoyle, R. J., Walker, K. J., Thomson, G., & Bailey, M. (2007). Accuracy of electrocardiogram interpretation improves with emergency medicine training. EMA - Emergency Medicine Australasia, 19(2), 143–150. https://doi.org/10.1111/j.1742-6723.2007.00946.x

Ibanez, B., James, S., Agewall, S., Jeger, R., Lamin, H. Ben, Sujayeva, V., … Bajraktari, G. (2017). 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation. European Heart Journal, 39(2), 119–177. https://doi.org/10.1093/eurheartj/ehx393

Jayroe, J. B., Spodick, D. H., Nikus, K., Madias, J., Fiol, M., De Luna, A. B., … Birnbaum, Y. (2009). Differentiating ST Elevation Myocardial Infarction and Nonischemic Causes of ST Elevation by Analyzing the Presenting Electrocardiogram. American Journal of Cardiology, 103(3), 301–306. https://doi.org/10.1016/j.amjcard.2008.09.082

Kremser, A. K., & Lyneham, J. (2007). Can Australian Nurses Safely Assess for Thrombolysis on EKG Criteria? Journal of Emergency Nursing, 33(2), 102–109. https://doi.org/10.1016/j.jen.2006.10.015

Le May, M., Dionne, R., Maloney, J., Trickett, J., Watpool, I., Ruest, M., … Davies, R. F. (2006). Diagnostic performance and potential clinical impact of advanced care paramedic interpretation of ST-segment elevation myocardial infarction in the field. Canadian Journal of Emergency Medicine, 8(6), 401–407. Retrieved from http://caep.ca/template.asp?id=C81186ED25B04467AC1D4D0C185F7CC9%5Cnhttp://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emed10&NEWS=N&AN=44768711

Levis, J. T., & Koskovich, M. (2010). Ability of first-year paramedic students to identify St-segment elevation myocardial injury on 12-lead electrocardiogram: A pilot study. Prehospital and Disaster Medicine, 25(6), 527–532. https://doi.org/10.1017/S1049023X00008712

Osborn, K., & Watson, A. (2011). Nursing Interpretation of the Electrocardiogram. In ECG: The Art and Science of Interpretation (pp. 1074–1118). Pearson.

Pelter, M. M., Carey, M. G., Stephens, K. E., Anderson, H., & Yang, W. (2010). Improving nurses’ ability to identify anatomic location and leads on 12-lead electrocardiograms with ST elevation myocardial infarction. European Journal of Cardiovascular Nursing, 9(4), 218–225. https://doi.org/10.1016/j.ejcnurse.2010.01.005

Salerno, S. M., Alguire, P. C., & Waxman, H. S. (2003). Training and Competency Evaluation for Interpretation of 12-Lead Electrocardiograms: Recommendations from the American College of Physicians. Annals of Internal Medicine, 138(9), 747–750. https://doi.org/10.7326/0003-4819-138-9-200305060-00012

Sanchis-Gomar, F., Perez-Quilis, C., Leischik, R., & Lucia, A. (2016). Epidemiology of coronary heart disease and acute coronary syndrome. Annals of Translational Medicine, 4(13), 256–256. https://doi.org/10.21037/atm.2016.06.33

Schläpfer, J., & Wellens, H. J. (2017). Computer-Interpreted Electrocardiograms: Benefits and Limitations. Journal of the American College of Cardiology, 70(9), 1183–1192. https://doi.org/10.1016/j.jacc.2017.07.723

Stephens, K. E., Anderson, H., Carey, M. G., & Pelter, M. M. (2007). Interpretig 12-Lead Electrocardiograms for Acute ST-Elevation Myocardial Infarction: What Nurses Know. Journal of Cardiovascular Nursing, 22(3), 186–193.

Trivedi, K., Schuur, J. D., & Cone, D. C. (2009). Can paramedics read st-segment elevation myocardial infarction on prehospital 12-lead electrocardiograms. Prehospital Emergency Care, 13(2), 207–214. Retrieved from http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emed9&NEWS=N&AN=2009572796

Vedanthan, R., Seligman, B., Fuster, V., Weiner, M. A., & Kravis, H. R. (2015). Global Perspective on Acute Coronary Syndrome: A Burden on the Young and Poor. Circulation Research, 114(12), 212–241. https://doi.org/10.1161/CIRCRESAHA.114.302782.Global

Vijayaraghavan, R., Yan, A. T., Tan, M., Fitchett, D. H., Georgescu, A. A., Hassan, Q., … Goodman, S. G. (2007). Local hospital vs. core-laboratory interpretation of the admission electrocardiogram in acute coronary syndromes: increased mortality in patients with unrecognized ST-elevation myocardial infarction. European Heart Journal, 29(1), 31–37. https://doi.org/10.1093/eurheartj/ehm503

Whitbread, M., Leah, V., Bell, T., & Coats, T. J. (2002). Recognition of ST elevation by paramedics. Emergency Medicine Journal : EMJ, 19(1), 66–67. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/11777883%0Ahttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC1725764




DOI: https://doi.org/10.31101/jhtam.796

Article Metrics

Abstract view : 1054 times
PDF - 349 times

Cited By

Refbacks

  • There are currently no refbacks.




Copyright (c) 2018 Dwi Prihatiningsih, Alison Hutton

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.


Journal of Health Technology Assessment in Midwifery

Indexing by

GarudaSinta Google Scholar Crossref DimensionsDOAJ


Universitas 'Aisyiyah (UNISA) Yogyakarta
Kampus Terpadu: Jl. Siliwangi (Ring Road Barat) No. 63, Nogotirto, Gamping, Sleman, Yogyakarta 55292 
Telepon: (0274) 4469199
Fax.: (0274) 4469204
Email: jhtam@unisayogya.ac.id


View My Stats