Analysis of the accuracy of automatic electrocardiogram interpretation in ST-segment elevation myocardial infarction
Objective This study aimed to analyze the association between the culprit artery and the diagnostic accuracy of automatic electrocardiogram (ECG) interpretation in patients with ST-segment elevation myocardial infarction (STEMI). Methods This single-centered, retrospective cohort study included adul...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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The Korean Society of Emergency Medicine
2022-03-01
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| Series: | Clinical and Experimental Emergency Medicine |
| Subjects: | |
| Online Access: | http://ceemjournal.org/upload/pdf/ceem-21-163.pdf |
| _version_ | 1797897138418483200 |
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| author | Seongsoo Kim Wonhee Kim Gu Hyun Kang Yong Soo Jang Hyun Young Choi Jae Guk Kim Yoonje Lee Dong Geum Shin |
| author_facet | Seongsoo Kim Wonhee Kim Gu Hyun Kang Yong Soo Jang Hyun Young Choi Jae Guk Kim Yoonje Lee Dong Geum Shin |
| author_sort | Seongsoo Kim |
| collection | DOAJ |
| description | Objective This study aimed to analyze the association between the culprit artery and the diagnostic accuracy of automatic electrocardiogram (ECG) interpretation in patients with ST-segment elevation myocardial infarction (STEMI). Methods This single-centered, retrospective cohort study included adult patients with STEMI who visited the emergency department between January 2017 and December 2020. The primary endpoint was the association between the culprit artery occlusion and the misinterpretation of ECG, evaluated by the chi-square test or Fisher exact test. Results The rate of misinterpretation of the automated ECG for patients with STEMI was 26.5% (31/117 patients). There was no significant correlation between the ST segment change in the four involved leads (anteroseptal, lateral, inferior, and aVR) and the misinterpretation of ECG (all P > 0.05). Single culprit artery occlusion significantly affected the misinterpretation of ECG compared with multiple culprit artery occlusion (single vs. multiple, 27/86 [31.3%] vs. 4/31 [12.9%], P = 0.045). There was no association between culprit artery and the misinterpretation of ECG (P = 0.132). Conclusion Single culprit artery occlusion might increase misinterpretation of ECG compared with multiple culprit artery occlusions in the automatic interpretation of STEMI. |
| first_indexed | 2024-04-10T07:52:50Z |
| format | Article |
| id | doaj.art-2f86ce23ef0445e9bbacd1c20e65e319 |
| institution | Directory Open Access Journal |
| issn | 2383-4625 |
| language | English |
| last_indexed | 2024-04-10T07:52:50Z |
| publishDate | 2022-03-01 |
| publisher | The Korean Society of Emergency Medicine |
| record_format | Article |
| series | Clinical and Experimental Emergency Medicine |
| spelling | doaj.art-2f86ce23ef0445e9bbacd1c20e65e3192023-02-23T07:09:44ZengThe Korean Society of Emergency MedicineClinical and Experimental Emergency Medicine2383-46252022-03-0191182310.15441/ceem.21.163369Analysis of the accuracy of automatic electrocardiogram interpretation in ST-segment elevation myocardial infarctionSeongsoo Kim0Wonhee Kim1Gu Hyun Kang2Yong Soo Jang3Hyun Young Choi4Jae Guk Kim5Yoonje Lee6Dong Geum Shin7 Department of Emergency Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea Department of Emergency Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea Department of Emergency Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea Department of Emergency Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea Department of Emergency Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea Department of Emergency Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea Department of Emergency Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea Department of Cardiology, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, KoreaObjective This study aimed to analyze the association between the culprit artery and the diagnostic accuracy of automatic electrocardiogram (ECG) interpretation in patients with ST-segment elevation myocardial infarction (STEMI). Methods This single-centered, retrospective cohort study included adult patients with STEMI who visited the emergency department between January 2017 and December 2020. The primary endpoint was the association between the culprit artery occlusion and the misinterpretation of ECG, evaluated by the chi-square test or Fisher exact test. Results The rate of misinterpretation of the automated ECG for patients with STEMI was 26.5% (31/117 patients). There was no significant correlation between the ST segment change in the four involved leads (anteroseptal, lateral, inferior, and aVR) and the misinterpretation of ECG (all P > 0.05). Single culprit artery occlusion significantly affected the misinterpretation of ECG compared with multiple culprit artery occlusion (single vs. multiple, 27/86 [31.3%] vs. 4/31 [12.9%], P = 0.045). There was no association between culprit artery and the misinterpretation of ECG (P = 0.132). Conclusion Single culprit artery occlusion might increase misinterpretation of ECG compared with multiple culprit artery occlusions in the automatic interpretation of STEMI.http://ceemjournal.org/upload/pdf/ceem-21-163.pdfst elevation myocardial infarctionelectrocardiographydiagnosiscoronary vessels |
| spellingShingle | Seongsoo Kim Wonhee Kim Gu Hyun Kang Yong Soo Jang Hyun Young Choi Jae Guk Kim Yoonje Lee Dong Geum Shin Analysis of the accuracy of automatic electrocardiogram interpretation in ST-segment elevation myocardial infarction Clinical and Experimental Emergency Medicine st elevation myocardial infarction electrocardiography diagnosis coronary vessels |
| title | Analysis of the accuracy of automatic electrocardiogram interpretation in ST-segment elevation myocardial infarction |
| title_full | Analysis of the accuracy of automatic electrocardiogram interpretation in ST-segment elevation myocardial infarction |
| title_fullStr | Analysis of the accuracy of automatic electrocardiogram interpretation in ST-segment elevation myocardial infarction |
| title_full_unstemmed | Analysis of the accuracy of automatic electrocardiogram interpretation in ST-segment elevation myocardial infarction |
| title_short | Analysis of the accuracy of automatic electrocardiogram interpretation in ST-segment elevation myocardial infarction |
| title_sort | analysis of the accuracy of automatic electrocardiogram interpretation in st segment elevation myocardial infarction |
| topic | st elevation myocardial infarction electrocardiography diagnosis coronary vessels |
| url | http://ceemjournal.org/upload/pdf/ceem-21-163.pdf |
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