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Assessment of Electrocardiography Knowledge Among Doctors Working in Emergency Department

Year 2021, Volume: 2 Issue: 2, 103 - 110, 16.07.2021
https://doi.org/10.48176/esmj.2021.24

Abstract

Introduction: Electrocardiography (ECG) is an indispensable method for fast and reliable cardiac assessment in emergency departments. Physicians should have proper knowledge of ECG for accurate patient management. The aim of this study was to evaluate the ECG knowledge of emergency medicine physicians.
Methods: General practitioners (GPs), emergency residents (ERs), emergency physicians (EPs) and cardiology physicians interpreted a total of 40 ECG samples in non-cardiac pathologies, arrhythmias, conduction disorders, and myocardial infarctions.
Results: A total of 178 physicians participated in the study - 27.5% of participants were ERs, 24.7% were GPs, 24.2% were EPs, and 23.6% were cardiologists. The general practitioners had the lowest success in ECG interpretation. Cardiologists were more successful in ECG interpretations of arrhythmias (A) and conduction delays (CD) than GPs, ERs and EPs (pA<0.001, pCD<0.001; pA<0.001, pCD<0.001; pA<0.001, pCD=0.006 respectively). On the myocardial infarction ECGs, they were more successful than GPs and ERs but there was no statistically significant difference between cardiologists and EPs (p<0.001, p=0.001 and p=1.000 respectively). There was no significant difference between EPs, ERs and cardiologists in ECGs for non-cardiac causes.
Conclusion: ECG knowledge level of general practitioners in emergency department was found to be insufficient. ECG knowledge of the physicians should be improved starting from medical school and continuously updated with in-service training during their professional careers in emergency departments.  

Supporting Institution

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Project Number

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Thanks

We thank to Mike Cadogan MD and Chris Nickson MD for the ECG support and we thank to Muzaffer Bilgin PhD and Güven Özkaya PhD for the statistical support.

References

  • 1. Einthoven, W., Weiteres über das Elektrokardiogramm. Pflüger, Archiv für die Gesammte Physiologie des Menschen und der Thiere, 1908. 122(12): p. 517-584.
  • 2. Kadish, A.H., et al., ACC/AHA clinical competence statement on electrocardiography and ambulatory electrocardiography: A report of the ACC/AHA/ACP-ASIM task force on clinical competence (ACC/AHA Committee to develop a clinical competence statement on electrocardiography and ambulatory electrocardiography) endorsed by the International Society for Holter and noninvasive electrocardiology. Circulation, 2001. 104(25): p. 3169-78.
  • 3. Gomez-Polo, J.C., et al., Poor Knowledge of Potentially Lethal Electrocardiographic Patterns in Asymptomatic Patients Among Noncardiologist Physicians, and Underestimation of Their Seriousness. Rev Esp Cardiol (Engl Ed), 2017. 70(6): p. 507-508.
  • 4. Patocka, C., J. Turner, and J. Wiseman, What adult electrocardiogram (ECG) diagnoses and/or findings do residents in emergency medicine need to know? Cjem, 2015. 17(6): p. 601-608.
  • 5. Gómez-Polo, J.C., et al., Poor Knowledge of Potentially Lethal Electrocardiographic Patterns in Asymptomatic Patients Among Noncardiologist Physicians, and Underestimation of Their Seriousness. Revista Española de Cardiología (English Edition), 2017. 70(6): p. 507-508.
  • 6. Michelson, E.A. and W.J. Brady, Emergency physician interpretation of the electrocardiogram. Acad Emerg Med, 2002. 9(4): p. 317-9.
  • 7. Bilello, L.A., et al., Electrocardiogram interpretation: Emergency medicine residents on the front lines. The American Journal of Emergency Medicine, 2019. 37(5): p. 1000-1001.
  • 8. Pines, J.M., D.G. Perina, and W.J. Brady, Electrocardiogram interpretation training and competency assessment in emergency medicine residency programs. Acad Emerg Med, 2004. 11(9): p. 982-4.
  • 9. Talebian, M.T., et al., Evaluation of emergency medicine residents competencies in electrocardiogram interpretation. Acta Med Iran, 2014. 52(11): p. 848-54.

Acil Serviste Çalışan Doktorların Elektrokardiyografi Bilgi Düzeylerinin Değerlendirilmesi

Year 2021, Volume: 2 Issue: 2, 103 - 110, 16.07.2021
https://doi.org/10.48176/esmj.2021.24

Abstract

Giriş: Elektrokardiyografi (EKG) acil servislerde hızlı ve güvenilir kardiyak değerlendirme için vazgeçilmez bir yöntemdir. Doğru hasta yönetimi için doktorlar uygun EKG bilgisine sahip olmalıdır. Bu çalışmanın amacı acil tıp hekimlerinin EKG bilgilerini değerlendirmektir.
Yöntemler: Pratisyen hekimler (PH), acil tıp asistanları (ATA), acil tıp uzmanı (ATU) ve kardiyoloji uzmanları; kardiyak olmayan patolojiler, aritmiler, ileti defektleri ve miyokard enfarktüslerinde toplam 40 EKG örneğini yorumladılar.
Bulgular: Çalışmaya toplam 178 hekim katıldı – katılımcıların % 27,5'i ATA, % 24,7'si PH, % 24,2'si ATU ve % 23,6'sı kardiyologdu. Pratisyen hekimler EKG yorumlamasında en düşük başarıya sahipti. Kardiyologlar, aritmi (A) ve ileti gecikmelerinin (İG) EKG yorumlamasında PH, ATA ve ATU’lara daha başarılıydı (sırasıyla pA <0,001, pİG <0,001; pA <0,001, pİG <0,001; pA <0,001, pİG = 0,006) . Miyokard enfarktüs EKG'lerinde kardiyologlar ve ATU’lar, pratisyen hekimler ve ATA’lara göre daha başarılı iken kendi aralarında istatistiksel olarak anlamlı bir fark yoktu (sırasıyla p <0,001, p = 0,001 ve p = 1.000). Non-kardiyak durumlara yönelik EKG'lerde ATA, ATU ve kardiyologlar arasında önemli bir fark yoktu.
Sonuç: Acil serviste çalışan pratisyen hekimlerin EKG bilgi düzeyleri yetersiz bulundu. Hekimlerin EKG bilgileri tıp fakültesinden başlayarak geliştirilmeli ve acil servislerde mesleki kariyerleri boyunca hizmet içi eğitimlerle sürekli güncellenmelidir.

Project Number

yok

References

  • 1. Einthoven, W., Weiteres über das Elektrokardiogramm. Pflüger, Archiv für die Gesammte Physiologie des Menschen und der Thiere, 1908. 122(12): p. 517-584.
  • 2. Kadish, A.H., et al., ACC/AHA clinical competence statement on electrocardiography and ambulatory electrocardiography: A report of the ACC/AHA/ACP-ASIM task force on clinical competence (ACC/AHA Committee to develop a clinical competence statement on electrocardiography and ambulatory electrocardiography) endorsed by the International Society for Holter and noninvasive electrocardiology. Circulation, 2001. 104(25): p. 3169-78.
  • 3. Gomez-Polo, J.C., et al., Poor Knowledge of Potentially Lethal Electrocardiographic Patterns in Asymptomatic Patients Among Noncardiologist Physicians, and Underestimation of Their Seriousness. Rev Esp Cardiol (Engl Ed), 2017. 70(6): p. 507-508.
  • 4. Patocka, C., J. Turner, and J. Wiseman, What adult electrocardiogram (ECG) diagnoses and/or findings do residents in emergency medicine need to know? Cjem, 2015. 17(6): p. 601-608.
  • 5. Gómez-Polo, J.C., et al., Poor Knowledge of Potentially Lethal Electrocardiographic Patterns in Asymptomatic Patients Among Noncardiologist Physicians, and Underestimation of Their Seriousness. Revista Española de Cardiología (English Edition), 2017. 70(6): p. 507-508.
  • 6. Michelson, E.A. and W.J. Brady, Emergency physician interpretation of the electrocardiogram. Acad Emerg Med, 2002. 9(4): p. 317-9.
  • 7. Bilello, L.A., et al., Electrocardiogram interpretation: Emergency medicine residents on the front lines. The American Journal of Emergency Medicine, 2019. 37(5): p. 1000-1001.
  • 8. Pines, J.M., D.G. Perina, and W.J. Brady, Electrocardiogram interpretation training and competency assessment in emergency medicine residency programs. Acad Emerg Med, 2004. 11(9): p. 982-4.
  • 9. Talebian, M.T., et al., Evaluation of emergency medicine residents competencies in electrocardiogram interpretation. Acta Med Iran, 2014. 52(11): p. 848-54.
There are 9 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research Articles
Authors

Mustafa Emin Çanakçı 0000-0001-9015-1782

Murat Çetin 0000-0002-0667-7966

Özge Turgay Yıldırım 0000-0002-6731-4958

Mevlüt Okan Aydin 0000-0002-8060-8803

Gürkan Altuntaş 0000-0001-7390-2513

Nurdan Acar 0000-0002-3532-1803

Project Number yok
Publication Date July 16, 2021
Published in Issue Year 2021 Volume: 2 Issue: 2

Cite

APA Çanakçı, M. E., Çetin, M., Turgay Yıldırım, Ö., Aydin, M. O., et al. (2021). Assessment of Electrocardiography Knowledge Among Doctors Working in Emergency Department. Eskisehir Medical Journal, 2(2), 103-110. https://doi.org/10.48176/esmj.2021.24
AMA Çanakçı ME, Çetin M, Turgay Yıldırım Ö, Aydin MO, Altuntaş G, Acar N. Assessment of Electrocardiography Knowledge Among Doctors Working in Emergency Department. Eskisehir Med J. July 2021;2(2):103-110. doi:10.48176/esmj.2021.24
Chicago Çanakçı, Mustafa Emin, Murat Çetin, Özge Turgay Yıldırım, Mevlüt Okan Aydin, Gürkan Altuntaş, and Nurdan Acar. “Assessment of Electrocardiography Knowledge Among Doctors Working in Emergency Department”. Eskisehir Medical Journal 2, no. 2 (July 2021): 103-10. https://doi.org/10.48176/esmj.2021.24.
EndNote Çanakçı ME, Çetin M, Turgay Yıldırım Ö, Aydin MO, Altuntaş G, Acar N (July 1, 2021) Assessment of Electrocardiography Knowledge Among Doctors Working in Emergency Department. Eskisehir Medical Journal 2 2 103–110.
IEEE M. E. Çanakçı, M. Çetin, Ö. Turgay Yıldırım, M. O. Aydin, G. Altuntaş, and N. Acar, “Assessment of Electrocardiography Knowledge Among Doctors Working in Emergency Department”, Eskisehir Med J, vol. 2, no. 2, pp. 103–110, 2021, doi: 10.48176/esmj.2021.24.
ISNAD Çanakçı, Mustafa Emin et al. “Assessment of Electrocardiography Knowledge Among Doctors Working in Emergency Department”. Eskisehir Medical Journal 2/2 (July 2021), 103-110. https://doi.org/10.48176/esmj.2021.24.
JAMA Çanakçı ME, Çetin M, Turgay Yıldırım Ö, Aydin MO, Altuntaş G, Acar N. Assessment of Electrocardiography Knowledge Among Doctors Working in Emergency Department. Eskisehir Med J. 2021;2:103–110.
MLA Çanakçı, Mustafa Emin et al. “Assessment of Electrocardiography Knowledge Among Doctors Working in Emergency Department”. Eskisehir Medical Journal, vol. 2, no. 2, 2021, pp. 103-10, doi:10.48176/esmj.2021.24.
Vancouver Çanakçı ME, Çetin M, Turgay Yıldırım Ö, Aydin MO, Altuntaş G, Acar N. Assessment of Electrocardiography Knowledge Among Doctors Working in Emergency Department. Eskisehir Med J. 2021;2(2):103-10.