Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Electrocardiogram interpretation as a basis for thrombolysis

R F Storey1, J M Rowley

  • 1King's Mill Hospital, Sutton-in-Ashfield.

Journal of the Royal College of Physicians of London
|January 16, 1998
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

The impact of patient-reported frailty on cardiovascular outcomes in elderly patients after non-ST-acute coronary syndrome.

International journal of cardiology·2024
Same author

Characteristics and outcomes in patients with a prior myocardial infarction treated with extended dual antiplatelet therapy with ticagrelor 60 mg: findings from ALETHEIA, a multi-country observational study.

European heart journal. Cardiovascular pharmacotherapy·2023
Same author

Health economic analysis of ticagrelor in patients with acute coronary syndromes intended for non-invasive therapy.

Heart (British Cardiac Society)·2014
Same author

Can we improve the efficacy of low-dose aspirin?

Thrombosis and haemostasis·2014
Same author

Utilisation of novel anti-platelet agents: evidence, guidelines and proven patients' value.

Thrombosis and haemostasis·2014
Same author

Platelet function testing and prediction of procedural bleeding risk.

Thrombosis and haemostasis·2013
Same journal

A Change of Government and Its Effect on the NHS Hospital Outpatient Service.

Journal of the Royal College of Physicians of London·2019
Same journal

Erratum: Model for the Organisation of a Community-Based Rehabilitation Service.

Journal of the Royal College of Physicians of London·2019
Same journal

Telemedicine and beyond.

Journal of the Royal College of Physicians of London·2019
Same journal

Palliative Care in General Medicine.

Journal of the Royal College of Physicians of London·2019
Same journal

Medical Negligence.

Journal of the Royal College of Physicians of London·2019
Same journal

In Response.

Journal of the Royal College of Physicians of London·2019
See all related articles

Doctors and nurses need better training in electrocardiogram (ECG) interpretation for diagnosing acute myocardial infarction (AMI) to ensure timely thrombolysis. Cardiologists showed the highest accuracy, while left bundle branch block management remains unclear.

Area of Science:

  • Cardiology
  • Medical Education
  • Emergency Medicine

Background:

  • Timely interpretation of electrocardiograms (ECGs) is crucial for diagnosing acute myocardial infarction (AMI).
  • Thrombolytic therapy administration decisions rely heavily on accurate ECG analysis.
  • Varying levels of expertise exist among healthcare professionals in interpreting complex ECG findings.

Purpose of the Study:

  • To evaluate the diagnostic skills of various medical and nursing staff in interpreting ECGs for thrombolysis decisions.
  • To assess the influence of professional grade on the accuracy of ECG interpretation for acute myocardial infarction (AMI).
  • To identify potential gaps in training regarding ECG interpretation for emergency cardiac care.

Main Methods:

  • A questionnaire-based study distributed to hospital staff.

Related Experiment Videos

  • Participants assessed 30 ECGs, deciding on thrombolytic therapy for presumed acute myocardial infarction (AMI).
  • Responses were anonymized, with participants indicating their professional role.

    • Main Results:

    • Consultant cardiologists achieved 100% accuracy in diagnosing unequivocal AMI on ECGs.
    • House officers demonstrated lower diagnostic accuracy for AMI at 75.5%.
    • Cardiac-trained nurses exhibited strong decision-making skills; cardiologists were most inclined towards thrombolysis in cases of left bundle branch block.

    Conclusions:

    • Enhanced training in ECG interpretation for myocardial infarction diagnosis is recommended for all staff managing chest pain patients.
    • Standardization of thrombolysis protocols is needed, particularly for cases involving left bundle branch block.
    • Cardiologists demonstrated superior performance in ECG interpretation and thrombolysis recommendation compared to other cadres.