Alonso Moreno F J, Orueta Sánchez R, Segura Fragoso A, Rabadán Velasco A I, Luna Del Pozo L, Villarín Castro A, Baquero Alonso M, Rodríguez Padial L
Centro de Salud Sillería, Toledo, España.
Centro de Salud Sillería, Toledo, España.
Semergen. 2018 Apr;44(3):153-160. doi: 10.1016/j.semerg.2016.12.001. Epub 2017 Feb 28.
To determine the reliability of the interpretation of electrocardiograms (ECG) by general practitioners and those in training by making a comparison with the interpretation made by the cardiologist.
An observational study was conducted that included general practitioners working in the Toledo Health Area, physicians during their training in Family and Community Medicine, and cardiologists in their first 3 years of specialist training (R1-R3). A questionnaire was used that included 13 ECGs with no clinical details of the patient. The 13 ECGs were selected and their diagnoses made by consensus by 2 cardiologists from the Toledo Hospital Complex.
The highest percentage of correct answers (82.3%) was obtained for ECG 5 (atrial fibrillation), and the lowest (26.5%) for ECG 11 (junctional rhythm). The highest diagnostic skill was achieved by the resident cardiologists, general practitioners, medical tutors, and doctors who had worked in hospital emergency departments. The highest odds ratio for a higher diagnostic skill was to work in an emergency department and be a practising general practitioner, both with almost significant results (P<.10).
Family physicians and those in training have a medium level of reliability in the interpretation of an ECG compared to the cardiologist.
通过与心脏病专家的解读进行比较，确定全科医生及其培训人员对心电图（ECG）解读的可靠性。
开展一项观察性研究，纳入在托莱多健康区工作的全科医生、接受家庭和社区医学培训的医生以及专科培训前3年（R1 - R3）的心脏病专家。使用一份包含13份心电图且无患者临床细节的问卷。这13份心电图由托莱多医院综合院区的2名心脏病专家通过共识选定并做出诊断。
心电图5（心房颤动）的正确答案百分比最高（82.3%），心电图11（交界性心律）的正确答案百分比最低（26.5%）。住院心脏病专家、全科医生、医学带教老师以及曾在医院急诊科工作的医生诊断技能最高。诊断技能较高的最高优势比是在急诊科工作且为执业全科医生，两者结果均接近显著（P <.10）。
与心脏病专家相比，家庭医生及其培训人员对心电图解读的可靠性处于中等水平。
