Inter‐ and Intraobserver Variability in LVH and RVH Reporting in Pediatric ECGs

Background: Physicians' diagnoses are often used as the gold standard for evaluating computer electrocardiogram (ECG) interpretation programs. As part of a larger study to evaluate the Glasgow pediatric ECG analysis program, inter‐ and intraobserver variability in the ECG reporting of two pediatric cardiologists was examined.

[1]  Douglas G. Altman,et al.  Practical statistics for medical research , 1990 .

[2]  P. Dunn,et al.  The lack of effect of clinical information on electrocardiographic diagnosis of acute myocardial infarction. , 1990, Archives of Internal Medicine.

[3]  H. Wolf,et al.  Use of computers in clinical electrocardiography: an evaluation. , 1977, Canadian Medical Association journal.

[4]  Geoffrey R. Norman,et al.  Impact of a clinical scenario on accuracy of electrocardiogram interpretation , 1999, Journal of General Internal Medicine.

[5]  Donald P. Connelly,et al.  The Effects of Computer-assisted Electrocardiographic Interpretation on Physicians' Diagnostic Decisions , 1995, Medical decision making : an international journal of the Society for Medical Decision Making.

[6]  A. Hoes,et al.  Diagnostic interpretation of electrocardiograms in population-based research: computer program research physicians, or cardiologists? , 1997, Journal of clinical epidemiology.

[7]  P W Macfarlane,et al.  A new 12-lead pediatric ECG interpretation program. , 1990, Journal of electrocardiology.

[8]  E. Löfsjögård-Nilsson,et al.  Evaluation of LVH as reported from a computer ECG system using echocardiography as a reference. , 1989, Journal of electrocardiology.

[9]  P. Kligfield,et al.  Electrocardiographic detection of left ventricular hypertrophy using echocardiographic determination of left ventricular mass as the reference standard. Comparison of standard criteria, computer diagnosis and physician interpretation. , 1984, Journal of the American College of Cardiology.