Rakab Amine, Swed Sarya, Alibrahim Hidar, Bohsas Haidara, Abouainain Yasmeen, Abbas Kirellos Said, Khair Eldien Jabban Yazan, Sawaf Bisher, Rageh Bushra, Alkhawaldeh Majd, Al-Fayyadh Israa, Rakab Mohamad Saad, Fathey Sherihan, Hafez Wael, Gerbil Amr, El-Shafei Emad Hassan Hassan
Clinical Medicine, Weill Cornell Medical College, Doha, Qatar.
Faculty of Medicine, Aleppo University, Aleppo, Syria.
Front Med (Lausanne). 2023 Apr 24;10:1140806. doi: 10.3389/fmed.2023.1140806. eCollection 2023.
This study aims to assess the electrocardiographic interpretation abilities of resident doctors at internal medicine and emergency medicine departments in eight Arabic countries.
An online cross-sectional study was conducted between October 7, 2022 and October 21, 2022 in eight Arabic countries. The questionnaire consisted of two main sections: the first section included sociodemographic information, while the second section contained 12 clinical case questions of the most severe cardiac abnormalities with their electrocardiography (ECG) recordings.
Out of 2,509 responses, 630 were eligible for the data analysis. More than half of the participants were males (52.4%). Internal medicine residents were ( = 530, 84.1%), whereas emergency medicine residents were ( = 100, 15.9%). Almost participants were in their first or second years of residency (79.8%). Only 36.2% of the inquired resident doctors had attended an ECG course. Most participants, 85.6%, recognized the ECG wave order correctly, and 50.5% of the participants scored above 7.5/10 on the ECG interpretation scale. The proportions of participants who were properly diagnosed with atrial fibrillation, third-degree heart block, and atrial tachycardia were 71.1, 76.7, and 56.6%, respectively. No statistically significant difference was defined between the internal and emergency medicine residents regarding their knowledge of ECG interpretation ( value = 0.42). However, there was a significant correlation between ECG interpretation and medical residency year ( value < 0.001); the fourth-year resident doctors had the highest scores (mean = 9.24, SD = 1.6). As well, participants in the third and second years of postgraduate medical residency have a probability of adequate knowledge of ECG interpretation more than participants in the first year of residency (OR = 2.1, value = 0.001) and (OR = 1.88, value = 0.002), respectively.
According to our research findings, resident doctors in departments of internal medicine and emergency medicine in Arabic nations have adequate ECG interpretation abilities; nevertheless, additional development is required to avoid misconceptions about critical cardiac conditions.
本研究旨在评估八个阿拉伯国家内科和急诊科住院医生的心电图解读能力。
2022年10月7日至2022年10月21日在八个阿拉伯国家进行了一项在线横断面研究。问卷由两个主要部分组成：第一部分包括社会人口统计学信息，而第二部分包含12个最严重心脏异常的临床病例问题及其心电图记录。
在2509份回复中，630份符合数据分析条件。超过一半的参与者为男性（52.4%）。内科住院医生有530人（84.1%），而急诊科住院医生有100人（15.9%）。几乎所有参与者都处于住院医师培训的第一年或第二年（79.8%）。只有36.2%的被询问住院医生参加过心电图课程。大多数参与者（85.6%）正确识别了心电图波形顺序，50.5%的参与者在心电图解读量表上得分高于7.5/10。被正确诊断为房颤、三度房室传导阻滞和房性心动过速的参与者比例分别为71.1%、76.7%和56.6%。内科和急诊科住院医生在心电图解读知识方面未发现统计学上的显著差异（P值 = 0.42）。然而，心电图解读与医学住院医师培训年份之间存在显著相关性（P值 < 0.001）；四年级住院医生得分最高（平均值 = 9.24，标准差 = 1.6）。同样，医学研究生住院医师培训第三年和第二年的参与者对心电图解读有充分了解的可能性分别高于住院医师培训第一年的参与者（OR = 2.1，P值 = 0.001）和（OR = 1.88，P值 = 0.002）。
根据我们的研究结果，阿拉伯国家内科和急诊科的住院医生具备足够的心电图解读能力；然而，仍需要进一步提高以避免对严重心脏疾病的误解。
