Una experiencia en la evaluación decompetencias en la lectura deelectrocardiogramas por parte de posgradosde Pediatría

Lucía Maurente, Silvina Babio, Helena Dogliani, J. Pérez, Diego Abdala, Fiorella Cavaleri, Loreley García, Walter Pérez
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Abstract

approach. and The population included ECGs of children aged between 5-15 years of old who attended the Pre-Assessment Sports Day. A pneumologist-cardiologist performed ECGs on 12 children. Materials: A pre-coded file was used to record the variables: heart rate, rhythm, p wave, PR interval, electric axis, QRS, QTc, T wave and ST segment. 60-110 bpm was considered a normal heart rate; PR interval 0.12-0.20 sec, QTC normal value between 0.33-0.44 sec. Results : the study analyzed results of 209 children and adolescents’ ECGs. There was 100% concordance between the rhythm and the electrical axis for the P wave. The concordance index exceeded 73% for all the variables and it reached a concordance of about 95%. However, for heart rate and QRS, although the Kappa point value can be considered acceptable, the confidence interval lower limits were lower than acceptable.
评估儿科研究生心电图阅读能力的经验
的方法。人群包括参加预评运动会的5-15岁儿童的心电图。一位肺病心脏病专家对12名儿童进行了心电图检查。材料:采用预编码文件记录变量:心率、节律、p波、PR间隔、电轴、QRS、QTc、T波、ST段。60-110 BPM被认为是正常心率;PR间期0.12-0.20秒,QTC正常值0.33-0.44秒。结果:本研究分析209例儿童青少年心电图结果。节律与P波电轴的一致性为100%。所有变量的一致性指数均超过73%,一致性达到95%左右。然而,对于心率和QRS, Kappa点值虽然可以认为是可接受的,但置信区间下限低于可接受。
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