1994
DOI: 10.1001/archpedi.1994.02170020070012
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Use of the Electrocardiogram in a Pediatric Emergency Department

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Cited by 34 publications
(23 citation statements)
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“…A patient series of 71 ECGs performed in a pediatric ED found an alarming 32% of the ECGs being interpreted differently by the cardiologist, with 20% having potential clinical relevance. 1 A study evaluating the effect of the cardiologist review of ED ECG interpretations in an adult population was recently performed on a much larger number of ECGs (n=1,000), which is closer to our study numbers. 4 They found a discordance rate of 19%, which compared to our rate of 13%.…”
Section: Discussionsupporting
confidence: 77%
“…A patient series of 71 ECGs performed in a pediatric ED found an alarming 32% of the ECGs being interpreted differently by the cardiologist, with 20% having potential clinical relevance. 1 A study evaluating the effect of the cardiologist review of ED ECG interpretations in an adult population was recently performed on a much larger number of ECGs (n=1,000), which is closer to our study numbers. 4 They found a discordance rate of 19%, which compared to our rate of 13%.…”
Section: Discussionsupporting
confidence: 77%
“…ECGs are obtained in children in the ED for a variety of reasons. Up to 20% of these have clinically significant findings such as prolonged QT syndrome, ventricular hypertrophy, or ectopy (1). Part of the challenge of pediatric ECGs is the fact that typically "abnormal" electrocardiographic findings in adults may, in fact, be normal or expected findings in children, depending on the age of the patient.…”
Section: Introductionmentioning
confidence: 99%
“…4 Chest pain presents a significant clinical burden for the pediatric emergency room physician 5 and is one of the more common reasons for performing electrocardiograms in the PED. 6 It is also a frequent cause for seeking pediatric cardiologist consultation within the hospital setting 7 and is among the most common reasons for referral to the pediatric cardiologist. 8 Prior to adulthood, chest pain is only rarely an indication of cardiac disease.…”
mentioning
confidence: 99%