Document Detail


Multifocal atrial arrhythmia--a frequent misdiagnosis? A correlative study using the computerized ECG.
MedLine Citation:
PMID:  1623654     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
All computerized ECGs taken over a 17-week study period were reviewed for the detection of multifocal atrial arrhythmia (MAA)--tachycardia or rhythm--and correlated with the diagnostic statement of the ECG computer system. MAA was identified by the authors in 96 of 11,610 (0.8%) computerized ECGs. In all instances, this specific arrhythmia was misclassified by the computer system as atrial fibrillation. Moreover, during the over-read, only 27.1% of ECGs were correctly diagnosed by the assigned electrocardiographers blinded to this study. MAA is not an uncommon atrial arrhythmia since it was identified in 14% of computerized ECGs interpreted as atrial fibrillation. This study supports the inference that MAA is indeed frequently misdiagnosed by most physicians and the need for improved ECG computer analysis programs for reliable detection of MAA.
Authors:
P Varriale; W David; B E Chryssos
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical cardiology     Volume:  15     ISSN:  0160-9289     ISO Abbreviation:  Clin Cardiol     Publication Date:  1992 May 
Date Detail:
Created Date:  1992-08-12     Completed Date:  1992-08-12     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7903272     Medline TA:  Clin Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  343-6     Citation Subset:  IM    
Affiliation:
Cabrini Medical Center, Division of Cardiology, New York, New York 10003.
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MeSH Terms
Descriptor/Qualifier:
Arrhythmias, Cardiac / diagnosis*
Atrial Fibrillation / diagnosis
Diagnosis, Computer-Assisted*
Diagnostic Errors*
Electrocardiography*
Humans
Tachycardia / diagnosis

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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