The Future of Electrocardiogram Interpretation Teaching in the Digital Age

Le, Vincent; Salehian, Omid; Sadreddini, Masoud

doi:10.1016/j.cjca.2018.07.004

Cited by 2 publications

(1 citation statement)

References 6 publications

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“…In hypercalcemia, the increase in calcium levels can disrupt the normal repolarization process of these muscles, leading to the appearance of a U wave on the ECG. This change is significant because an increased U wave can also increase the risk of developing arrhythmias [17].…”

Section: Ecg Changes Due To Hypercalcemiamentioning

confidence: 99%

Electrocardiogram Morphology Changes in Patients with Electrolytes Imbalances

Alkhaqani

2023

J Med Clin Nurs Stud

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Electrolyte imbalances are a common occurrence in patients with various medical conditions, and their impact on cardiovascular health cannot be underestimated. The electrocardiogram (ECG) is a valuable tool for monitoring cardiac function, and changes in its morphology can provide important insights into electrolyte abnormalities. Electrolyte abnormalities can be life-threatening, and their management depends on the speed of onset of the electrolyte’s derangement and the patient’s existing comorbidities. Electrolyte imbalances can affect the heart’s electrical activity and can be seen on an ECG. The specific ECG changes will depend on the specific electrolyte imbalance. This article explores the relationship between electrolyte imbalances and morphological alterations in the ECG. By understanding these changes, healthcare professionals can improve the diagnosis, treatment, and management of patients with electrolyte disturbances, ultimately enhancing patient outcomes and reducing the risk of cardiac events.

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Section: Ecg Changes Due To Hypercalcemiamentioning

confidence: 99%

Electrocardiogram Morphology Changes in Patients with Electrolytes Imbalances

Alkhaqani

2023

J Med Clin Nurs Stud

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How do healthcare practitioners read electrocardiograms? A dual-process model of electrocardiogram interpretation

Davies¹,

Mueller

Horseman

et al. 2019

British Journal of Cardiac Nursing

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Background/Aims: This article aims to improve the understanding of the applied cognitive processes when interpreting electrocardiograms in clinical practice. It will do this by examining the self-reported approach practitioners take to interpret any barriers they encounter. Methods: This was a qualitative study in which medical practitioners, who routinely interpret electrocardiograms (n=31), were interviewed. The semi-structured interviews covered: their experience of interpretation; use of a system; pitfalls; changes to approach over time. An inductive thematic analysis was used to identify commonly occurring themes. A further set of practitioners (n=31), completed surveys that concerned their approach to an interpretation and use of interpretation frameworks/systems. Results: Practitioners find it easier to interpret electrocardiograms as they gain experience, but the process remains difficult. Barriers to successful interpretation include artefacts altering the waveform, lack of familiarity with the presenting condition, stress/panic at the prospect of making an inaccurate judgement, and overconfidence in one's interpretation abilities. Conclusions: The results support a dual-process system model that is developed with experience and enhances performance. Over time, experienced practitioners become able to move fluidly between a more formal systematic method and an experience-driven pattern recognition system. Potential errors that may arise from a reliance on pattern recognition (e.g. missing details) can be mitigated by using a systematic approach.

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The Future of Electrocardiogram Interpretation Teaching in the Digital Age

Cited by 2 publications

References 6 publications

Electrocardiogram Morphology Changes in Patients with Electrolytes Imbalances

Electrocardiogram Morphology Changes in Patients with Electrolytes Imbalances

How do healthcare practitioners read electrocardiograms? A dual-process model of electrocardiogram interpretation

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