Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 2 de 2
Filter
Add filters








Language
Year range
1.
Tunisie Medicale [La]. 2004; 82 (4): 358-362
in French | IMEMR | ID: emr-206052

ABSTRACT

The aim of this study was to determine the concordance of emergency physicians' and cardiologists' interpretations of emergency department [ED] electrocardiograms [ECG] and to evaluate the impact of ECG misinterpretation on patient management. From December 1993 to April 1994 one hundred ninety five ECG interpretations [3.3% of all consultants] were registered prospectively using a programmed-response data sheet. A second blinded interpretation by a cardiologist was performed and compared with the emergency physicians' interpretations. The overall concordance between emergency physicians' and cardiologist ECG interpretations was observed in 149 [76%] cases [kappa= 0.41]. The concordance rate was lower in abnormal ECGs [kappa=0.19]


Conclusion: in our study, the quality of ECG interpretation by ED physicians is satisfactory and the rare misinterpretations have minimal clinical impact

2.
Tunisie Medicale [La]. 2004; 82 (1 Supp.): 164-175
in French | IMEMR | ID: emr-206090

ABSTRACT

The goal of this study was to compare the clinical presentation and angiographic morphology of patients having an unstable angina pectoris. A total of 321 patients were consecutively studied and underwent cardiac catheterization, mean age 59 + 6 years. According to Braunwald classification, class III was predominant [58%] On coronary angiography, 148 patients had single vessel disease, double-vessel in 92 and triple-vessel in 64. Morphology of coronary artery lesions was classified according to Ambrose's classification, 100 patients had simple lesions [type I or IIA], 204 patients had complex lesions [type IIB, Ill, intracoronary thrombus or total occlusion]. Thoracic rest pain [class III] or postinfarction angina [class C], were associated with the presence of complex lesions. This subgroup of high risk patients would benefit from either Glycoprotein IIb/IIIa blockers with an early revascularisation strategy

SELECTION OF CITATIONS
SEARCH DETAIL