Advertisement

Standardization in Performing and Interpreting Electrocardiograms

Published:December 24, 2020DOI:https://doi.org/10.1016/j.amjmed.2020.10.042

      Abstract

      Excellence in recording and interpretation of electrocardiogram (ECG) is a necessity for optimal electrocardiography. This includes data to properly interpret the ECG, including data on age, gender, cardiovascular diagnosis, medications, abnormal laboratory findings (eg, data on electrolytes), and the indications for the electrocardiogram. The ECG needs to be performed by a qualified technician and interpreted by an experienced physician.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to The American Journal of Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Drazen E
        • Mann N
        • Borun R
        • Laks M
        • Bersen A
        Survey of computer assisted electrocardiography in the United States.
        J Electrocardiol. 1988; : S98-S104
        • AAMI EC11, 91st Edition, 2007 - Diagnostic electrocardiographic devices
        Association for the Advancement of Medical Instrumentation.
        2000
        • Berson AS
        • Pipberger HV.
        The low frequency response of electrocardiographs, a frequent source of recording errors.
        Am Heart J. 1966; 71: 779-789
        • Kligfield P
        • Gettes LS
        • Bailey JJ
        • et al.
        Recommendations for the standardization and interpretation of the electrocardiogram.
        Circulation. 2007; 115: 1306-1324
        • Kligfield P
        • Akin PM.
        Prevalence and clinical implications of improper filter settings in routine electrocardiography.
        Am J Cardiol. 2007; 99: 711-713
        • Sheffield LT
        • Prineas R
        • Cohen HC
        • Schoenberg A
        • Froelicher V.
        Task force II: quality of electrocardiographic records.
        Am J Cardiol. 1978; 41: 146-157
        • McAdams E
        Bioelectrodes.
        in: Webster JG Encyclopedia of Medical Devices and Instrumentation. 2nd ed. John Wiley and Sons, New York, NY2006: 120-164
        • Hanish HM
        • Neustein RA
        • Van Cott CC
        • Sanders RT.
        Technical aspects of monitoring the heart rate of active persons.
        Am J Clin Nutr. 1971; 24: 1155-1163
        • Carim HM
        • Hawkinson RW.
        EKG electrode electrolyte-skin AC impedance studies.
        Proc. 4th Ann Conf IEEE Eng Med Biol Soc. 1982; : 503-504
        • Tam HW
        • Webster JG.
        Minimizing electrode motion artifact by skin abrasion.
        IEEE Trans Biomed Eng. 1977; 24: 134-139
        • Tragardh-Johansson E
        • Welinder A
        • Pahlm O.
        Similarity of ST and T waveforms of 12-lead electrocardiogram acquired from different monitoring electrode positions.
        J Electrocardiol. 2011; 44: 109-114
        • Kadish AH
        • Buxton AE
        • Kennedy AL
        • et al.
        ACC/AHA clinical competence statement on electrocardiography and ambulatory electrocardiography.
        Circulation. 2001; 104: 3169-3178
        • Garcia-Niebla J
        • Llontop-Garcia P
        • Valle-Racero JI
        • Serra-Autonell G
        • Batchvarov V
        • Bayes de Luna A.
        Technical mistakes during the acquisition of the electrocardiogram.
        Ann Noninvasive Electrocardiol. 2009; 14: 389-403
        • Bond RR
        • Finlay DD
        • Nugent CD
        • Breen C
        • Guldenring D
        • Daly MJ.
        The effects of electrode misplacement on clinicians' interpretation of the standard 12-lead electrocardiogram.
        Eur J Intern Med. 2012; 23: 610-615
        • O'Connor RE
        • Brady W
        • Brooks SC
        • et al.
        Part 10: acute coronary syndromes: 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care.
        Circulation. 2010; 122 (S787-S817)
        • Kontos MC
        • Kurz MC
        • Roberts CS
        • et al.
        An evaluation of the accuracy of emergency physician activation of the cardiac catheterization laboratory for patients with suspected ST-segment elevation myocardial infarction.
        Ann Emerg Med. 2010; 55: 423-430
        • DB Diercks
        • Hollander JE.
        Catheterization laboratory activation: more about the drawing than the balloons.
        Ann Emerg Med. 2010; 55: 431-433
        • Resenkov L
        • Fox S
        • Selzer A
        • et al.
        Guidelines for utilization of electrocardiograms.
        Am J Cardiol. 1978; 41: 170-175
        • Westdorp EJ
        • Grattan MC
        • Watson WA.
        Emergency department interpretation of electrocardiograms.
        Ann Emerg Med. 1992; 21: 541-544
        • Snyder CS
        • Fenrich AL
        • Friedman RA
        • Macias C
        • O'Reilly K
        • Kertesz NJ.
        The emergency department versus the computer: Which is the better electrocardiographer?.
        Pediatr Cardiology. 2003; 24: 364-368
        • Todd KH
        • Hoffman JR
        • Marshall MT.
        Effect of cardiologist ECG review on emergency department practice.
        Ann Emerg Med. 1996; 27: 16-21
        • Perz S
        • KUfner R
        • Englmeier KB
        • et al.
        Quality of electrocardiographic records in population studies: What can we achieve?.
        Comput Cardiol. 2010; 37: 705-708