Debatable issues in automated ECG reporting

Peter W Macfarlane; Jay W Mason; Paul Kligfield; Claire E Sommargren; Barbara Drew; Peter van Dam; Roger Abächerli; David E Albert; Morrison Hodges

doi:10.1016/j.jelectrocard.2017.08.027

Debatable issues in automated ECG reporting

J Electrocardiol. 2017 Nov-Dec;50(6):833-840. doi: 10.1016/j.jelectrocard.2017.08.027. Epub 2017 Sep 1.

Authors

Peter W Macfarlane¹, Jay W Mason², Paul Kligfield³, Claire E Sommargren⁴, Barbara Drew⁴, Peter van Dam⁵, Roger Abächerli⁶, David E Albert⁷, Morrison Hodges⁸

Affiliations

¹ Institute of Health and Wellbeing, University of Glasgow, Glasgow, Scotland, UK. Electronic address: peter.macfarlane@glasgow.ac.uk.
² Spaulding Clinical Research, West Bend, WI, USA.
³ Weill Cornell Medical College, Cornell University, New York, NY, USA.
⁴ Department of Physiological Nursing, University of California San Francisco, San Francisco, CA, USA.
⁵ Cardiac Arrhythmia Center, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, USA.
⁶ Lucerne University of Applied Sciences and Arts, Lucerne, Switzerland.
⁷ Alive Cor, Mountain View, CA, USA.
⁸ Minneapolis Heart Institute Foundation, Minneapolis, MN, USA.

PMID: 28985886
DOI: 10.1016/j.jelectrocard.2017.08.027

Abstract

Although automated ECG analysis has been available for many years, there are some aspects which require to be re-assessed with respect to their value while newer techniques which are worthy of review are beginning to find their way into routine use. At the annual International Society of Computerized Electrocardiology conference held in April 2017, four areas in particular were debated. These were a) automated 12 lead resting ECG analysis; b) real time out of hospital ECG monitoring; c) ECG imaging; and d) single channel ECG rhythm interpretation. One speaker presented the positive aspects of each technique and another outlined the more negative aspects. Debate ensued. There were many positives set out for each technique but equally, more negative features were not in short supply, particularly for out of hospital ECG monitoring.

Keywords: 24/7 monitoring; Automated ECG interpretation; ECG devices; ECG imaging; Mobile Cardiac Telemetry.

Publication types

Congress

MeSH terms

Automation*
Diagnosis, Computer-Assisted*
Electrocardiography*
Humans
Signal Processing, Computer-Assisted*
Societies, Medical