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Atrial fibrillation? Multifocal Atrial Tachycardia? Don't look at computer read until AFTER you interpret!

Dr. Smith's ECG Blog

Here is an example where the computer failed to diagnose atrial fibrillation, with disastrous consequences: Computer often fails to diagnose atrial fibrillation in ventricular paced rhythm, and that can be catastrophic Smith SW et al. IJC Heart and Vasculature 25(2019). Poon et al. sensitivity and 98.9%

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Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

Abnormal Electrocardiogram (ECG): Defined (San Fran syncope rule) as any new changes when compared to the last ECG or presence of non-sinus rhythm. Annotated Bibliography For an excellent overview of ED Syncope management , see this article by Kessler C et al. starts at end of article on p. Commentary by Heidenreich PA.