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ECG Interpretation: Clinical Relevance, Challenges, and Advances

1
Department of Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA
2
Division of Cardiovascular Diseases, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA
*
Author to whom correspondence should be addressed.
Academic Editor: Peter Macfarlane
Hearts 2021, 2(4), 505-513; https://doi.org/10.3390/hearts2040039
Received: 21 September 2021 / Revised: 18 October 2021 / Accepted: 20 October 2021 / Published: 2 November 2021
(This article belongs to the Special Issue The Application of Computer Techniques to ECG Interpretation)
Since its inception, the electrocardiogram (ECG) has been an essential tool in medicine. The ECG is more than a mere tracing of cardiac electrical activity; it can detect and diagnose various pathologies including arrhythmias, pericardial and myocardial disease, electrolyte disturbances, and pulmonary disease. The ECG is a simple, non-invasive, rapid, and cost-effective diagnostic tool in medicine; however, its clinical utility relies on the accuracy of its interpretation. Computer ECG analysis has become so widespread and relied upon that ECG literacy among clinicians is waning. With recent technological advances, the application of artificial intelligence-augmented ECG (AI-ECG) algorithms has demonstrated the potential to risk stratify, diagnose, and even interpret ECGs—all of which can have a tremendous impact on patient care and clinical workflow. In this review, we examine (i) the utility and importance of the ECG in clinical practice, (ii) the accuracy and limitations of current ECG interpretation methods, (iii) existing challenges in ECG education, and (iv) the potential use of AI-ECG algorithms for comprehensive ECG interpretation. View Full-Text
Keywords: electrocardiogram; ECG interpretation; artificial intelligence; machine learning electrocardiogram; ECG interpretation; artificial intelligence; machine learning
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MDPI and ACS Style

Rafie, N.; Kashou, A.H.; Noseworthy, P.A. ECG Interpretation: Clinical Relevance, Challenges, and Advances. Hearts 2021, 2, 505-513. https://doi.org/10.3390/hearts2040039

AMA Style

Rafie N, Kashou AH, Noseworthy PA. ECG Interpretation: Clinical Relevance, Challenges, and Advances. Hearts. 2021; 2(4):505-513. https://doi.org/10.3390/hearts2040039

Chicago/Turabian Style

Rafie, Nikita, Anthony H. Kashou, and Peter A. Noseworthy. 2021. "ECG Interpretation: Clinical Relevance, Challenges, and Advances" Hearts 2, no. 4: 505-513. https://doi.org/10.3390/hearts2040039

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