The comparative evaluation of diagnosis, given on the same ECG by a cardiologist and by a computerized system HP 5600 C on line and off line, allowed us to specify for each diagnosis the agreement's degree between cardiologist and computerized reading and the disagreement's degree due to inadequate program and to "casual" errors of analysis.
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JMIR Cardio
December 2024
Westmead Applied Research Centre, University of Sydney, Sydney, Australia.
Background: Computerized clinical decision support systems (CDSS) are increasingly being used in clinical practice to improve health care delivery. Mobile apps are a type of CDSS that are currently being increasingly used, particularly in lifestyle interventions and disease prevention. However, the use of such apps in acute patient care, diagnosis, and management has not been studied to a great extent.
View Article and Find Full Text PDFCJEM
December 2024
Emergency Department, Charles-Le Moyne Hospital, Greenfield Park, QC, Canada.
Background: ECGs performed at ED triage are mandatorily assessed by an emergency physician contributing to task interruptions, decreased quality of care and increased error risk. Recent literature suggests that a triage ECG interpreted as normal by the ECG machine software correlates with benign interpretation from attending cardiologists. Ambiguity persists regarding the safety of the normal computerized ECG interpretation and whether real-time physician review is needed.
View Article and Find Full Text PDFBiomed Eng Online
August 2024
School of Biomedical and Precision Engineering, Faculty of Medicine, University of Bern, Güterstrasse 24/26, CH-3010, Bern, Switzerland.
Background: To treat stenosed coronary arteries, percutaneous transluminal coronary angioplasty (PTCA) balloon catheters must combine pushability, trackability, crossability, and rewrap behavior. The existing anatomic track model (ASTM F2394) for catheter testing lacks 3D morphology, vessel tortuosity, and compliance, making evaluating performance characteristics difficult. This study aimed to develop a three-dimensional patient-specific phantom (3DPSP) for device testing and safe training for interventional cardiologists.
View Article and Find Full Text PDFNat Med
May 2024
Department of Magnetic Resonance Imaging, Fuwai Hospital and National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Cardiac magnetic resonance imaging (CMR) is the gold standard for cardiac function assessment and plays a crucial role in diagnosing cardiovascular disease (CVD). However, its widespread application has been limited by the heavy resource burden of CMR interpretation. Here, to address this challenge, we developed and validated computerized CMR interpretation for screening and diagnosis of 11 types of CVD in 9,719 patients.
View Article and Find Full Text PDFCureus
January 2024
Cardiology, The Texas Heart Institute, Houston, USA.
An electrocardiogram, used to not only assess the rate and rhythm of the heart but also to evaluate for injury to the heart, is performed by attaching 12 leads to the patient's body. A myocardial infarction can be mimicked by the misplacement of the leads. A 58-year-old man with long-distance running-associated bradycardia developed postoperative atrial fibrillation with a rapid ventricular response.
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