DIAGNOSIS
Accuracy of ECG interpretation in primary care was limited for detecting atrial fibrillation
| The first 150 words of the full text of this article appear below. |
D A Fitzmaurice
Dr D A Fitzmaurice, University of Birmingham, Birmingham, UK; d.a.fitzmaurice@bham.ac.uk
STUDY QUESTION
What is the accuracy of different types of electrocardiography (ECG) and different interpreters for diagnosis of atrial fibrillation (AF) in primary care?
STUDY DESIGN
blinded comparison of 3 types of ECG interpreted by 3 different groups with 12-lead ECGs read by cardiology consultants (substudy of a randomised controlled trial [Screening for Atrial Fibrillation in the Elderly, SAFE]).
49 primary care practices in central England, UK.
2595 patients from the SAFE intervention group (
65 y) who were identified for an ECG because of an irregular pulse on opportunistic screening (n = 238) or were selected randomly to have a 12-lead ECG (n = 2357).
1 of 3 ECG types was randomly selected for each patient (847 single chest-lead, 858 limb-lead, and 848 12-lead). Batches of 100 ECGs were sent for interpretation to 2 primary care practitioners (1 physician and
Royal College of Surgeons in Ireland Medical School Dublin, Ireland
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This article has been cited by other articles:
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Falk, G., Fahey, T.
(2008). Accuracy of ECG interpretation in primary care was limited for detecting atrial fibrillation. Evid. Based Med.
13: 91-91
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Arrhythmias
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Screening (epidemiology)
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Screening (public health)
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General practice / family medicine
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