Evidence map›Paper›PMID 34322307›Full record

ArticleAmerican journal of cardiovascular disease2021

Determining the clinical significance of computer interpreted electrocardiography conclusions.

Daniel J Kersten, Kyla D'Angelo, Juana Vargas, Gagan Verma, Uzma Malik, Schlomo Shavolian, Roman Zeltser, Ofek Hai, Amgad N Makaryus

Open access · greenAbstract read
In one paragraph

Article in American journal of cardiovascular disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 84% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Daniel J KerstenDepartment of Cardiology, Nassau University Medical Center East Meadow, NY, USA.
Kyla D'AngeloDepartment of Cardiology, Nassau University Medical Center East Meadow, NY, USA.
Juana VargasDepartment of Cardiology, Nassau University Medical Center East Meadow, NY, USA.
Gagan VermaNew York Institute of Technology College of Osteopathic Medicine Old Westbury, NY, USA.
Uzma MalikDepartment of Medicine, Nassau University Medical Center East Meadow, NY, USA.
Schlomo ShavolianDepartment of Cardiology, Nassau University Medical Center East Meadow, NY, USA.
Roman ZeltserDepartment of Cardiology, Nassau University Medical Center East Meadow, NY, USA.
Ofek HaiDepartment of Cardiology, Nassau University Medical Center East Meadow, NY, USA.
Amgad N MakaryusDepartment of Cardiology, Nassau University Medical Center East Meadow, NY, USA.
Nassau University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundComputerized electrocardiogram (EKG) interpretation technology was developed in the mid-20th century, but its use continues to be controversial. This study aims to determine clinical factors which indicate greater odds of clinical significance of an abnormal computerized EKG interpretation.

methodsThe inclusion criteria for this retrospective study were patients who underwent outpatient echocardiography for the indication of an abnormal EKG and had an EKG abnormality diagnosed by the computerized EKG system. Qualifying patients had the results of their computerized EKG, echocardiogram, and charted patient characteristics collected. Computerized diagnoses and patient characteristics were assessed to determine if they were associated with increasing or decreasing the odds of an echocardiographic abnormality via logistic regression. Chi-square and t-test analyses were used for categorical and continuous variables, respectively. Odds ratios are presented as odds ratio [95% confidence interval]. A

resultsA total of 515 patients were included in this study. The population was 59% women with an average age of 57 ± 16 years, and a mean BMI of 30.1 ± 7.3 kg/m

conclusionOur findings suggest that in patients with an abnormal computerized EKG reading, the specific factors of older age, CAD, and DM are associated with higher odds of abnormalities on follow-up echocardiography. These results, plus practitioner overreading, can be used to determine more appropriate management when faced with an abnormal computerized EKG diagnosis.

Indexed as

clinical managementcomputerized electrocardiographic interpretationechocardiographyElectrocardiography

Identifiers

PMID34322307
PMCPMC8303043
OpenAlexW3186744128

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.