Table 3 Know the indications for performing an ECG, as well as its technical requirements and reporting
Topics for which consensus was reached | Round in which consensus was reached | Agreement amongst panellists (%) | Mode | Topics for which consensus was not reached | Agreement amongst panellists (%) | Mode |
|---|---|---|---|---|---|---|
Clinical indications for performing an ECG | ||||||
Know when the ECG is indicated | Second | 97.1 | 5 | |||
ECG for chest pain | Second | 99.0 | 5 | |||
ECG for dyspnoea | Second | 97.1 | 5 | |||
ECG for palpitations | Second | 99.0 | 5 | |||
ECG for syncope | Second | 100 | 5 | |||
ECG for depressed level of consciousness | Second | 80.8 | 5* | |||
Know the diagnostic limitations of electrocardiography | Second | 93.3 | 4 | |||
Technical aspects of performing and reporting an ECG | ||||||
Acquire a standard 12-lead ECG and know where all the leads should be placed | Second | 94.3 | 5 | Acquire and interpret lead V4R | 69.3 | 4 |
Interpret the paper speed and voltage / know the correct calibration | Second | 94.3 | 5 | Acquire and interpret leads V7, V8, V9 | 37.6 | 2 |
Be able to recognize left right arm reversal | First | 76.2 | 5 | Perform and interpret a stress ECG | 35.0 | 2 |
Acceptable ECG documentation (including medico-legal aspects) | Second | 93.3 | 5 | Interpret the basics of a paced rhythm | 72.0 | 4 |
The patient-related and ethical aspects regarding ECG registration (including patient privacy, provision of information to patients regarding the registration of their ECG, etc.) | Second | 80.8 | 4 | |||
How to avoid ECG artefacts | Second | 90.4 | 4 | |||
Recognising computer misinterpretation from correct interpretation | Second | 90.4 | 5* | |||