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KEY PEARL:
It is important to understand the limitations of computerized ECG interpretation.
DO NOT TRUST THE COMPUTER INTERPRETATION!
Computers tend to be particularly poor at detecting early signs of ischemia, and can miss life threatening diagnoses. Remember, a computer interpretation of normal still requires you to review the ECG yourself, especially in acute settings!
References:
1. Hughes KE, Lewis SM, Katz L, Jones J. Safety of Computer Interpretation of Normal Triage Electrocardiograms. Acad Emerg Med 2017;24(1):120–4. PMID: 27519772.
2. Riley RF, Newby LK, Don CW, et al. Diagnostic time course, treatment, and in-hospital outcomes for patients with ST-segment elevation myocardial infarction presenting with nondiagnostic initial electrocardiogram: a report from the American Heart Association Mission: Lifeline program. American Heart Journal 2013;165(1):50–6. PMID: 23237133.
3. Millard MA, Nagarajan V, Kohan LC, et al. Initial electrocardiogram as determinant of hospital course in ST elevation myocardial infarction. Ann Noninvasive Electrocardiol 2017;22(4). PMID: 28044391.
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