运动员心电图T波异常的解释模式由非专家.
Asad J Torabi1, Omar D Nahhas2, Reginald E Dunn3
1Krannert Institute of Cardiology, Indiana University School of Medicine, Indianapolis, IN, USA.
概括
没有经验的读者经常误解运动员心电图 (ECG) 上的T波异常 (TWA). 专家审查显著减少了TWA诊断,强调了医生需要改善心电图解释教育的需要.
科学领域:
- 运动心脏病学 运动心脏病学
- 心血管诊断心血管诊断服务
- 电心电图是指心电图.
背景情况:
- 运动员心电图 (ECG) 上的T波异常 (TWA) 带来了诊断挑战.
- 之前对未经验的读者误解的TWA模式的分析是缺乏的.
研究的目的:
- 系统地分析运动员中非专家读者误解的TWA模式.
- 根据TWA分类的既定标准,评估专家审查的影响.
主要方法:
- 对1643个NFL侦察组合ECG (2011-2015年) 的回顾性审查.
- 一般心脏病学家的初步解释,由专家体育心脏病学家使用2017年国际标准重新评估.
- 与原始解释相比,对改变的TWA模式的分析.
主要成果:
- 在专家审查后,任何TWA的运动员减少了67% (p < 0.001).
- 111个ECG被重新归类为正常.
- 下部TWA是最常见的最初误解的模式,其次是前部和侧部.
结论:
- 非专家读者在运动员中表现出高TWA误解率.
- 为医生推针对性教育计划,重点关注特定的T波模式和心电图解释指南.
- 提高对当前ECG解释标准的认识对于运动心脏病学至关重要.
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