Abstract

Methods 80 male and female ED physicians each received 20 ECGs and answered two questions for each ECG: #1 “Will this patient’s discharge diagnosis be ACS?” (yes/ no), and #2 “On a scale of 0-100, how likely is it that the patient will be discharged with an ACS diagnosis?” Data on each physician’s gender, experience, and daily practice in ECG reading were collected. Physicians’ answers were assessed for correctness when compared to discharge diagnosis and expert ECG interpretation, respectively.

Highlights

  • Interpretation of the ECG is central to the diagnosis of acute coronary syndrome (ACS) in emergency department (ED) chest pain patients

  • This study aimed to investigate ED doctors’ ability to diagnose ACS based solely on ECGs from ED chest pain patients

  • Female ED physicians correctly identified more patients who were discharged with ACS than their male colleagues, probably explained by a tendency to assign a higher likelihood of ACS

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Summary

Objectives

This study aimed to investigate ED doctors’ ability to diagnose ACS based solely on ECGs from ED chest pain patients

Methods
Results
Conclusion
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