TBC: A simple algorithm to rule out abnormalities in electrocardiograms of patients with pacemakers
The aim of the study was to create a straightforward method to rule out abnormalities in electrocardiograms (ECGs) performed in patients with pacemakers. The TBC method screens the ECG for any of the following findings: Tachycardia with pacing spikes, Bradycardia without spikes and Chaos with spikes...
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| Veröffentlicht in: | Cardiology journal 2020-05, Vol.27 (2), p.136-141 |
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| creator | Higueras, Javier Olmos, Carmen Palacios-Rubio, Julián Gómez-Polo, Juan Carlos Martínez-Losas, Pedro Ruiz-Pizarro, Virginia Bover, Ramón Pérez-Villacastín, Julián |
| description | The aim of the study was to create a straightforward method to rule out abnormalities in electrocardiograms (ECGs) performed in patients with pacemakers.
The TBC method screens the ECG for any of the following findings: Tachycardia with pacing spikes, Bradycardia without spikes and Chaos with spikes unrelated to QRS-T complexes. T was considered to advise for patient assessment and B and C to require referral for urgent pacemaker evaluation. The diagnostic accuracy of the algorithm was validated using a cohort of 151 ECGs with normal and dysfunctional pacemakers. The effect of the algorithm was then evaluated for diagnostic skills and management of patients with pacemakers by non-cardiologists, comparing their diagnostic accuracy before and after teaching the algorithm.
The TBC algorithm had a sensitivity of 86% and a specificity of 94% in diagnosing a malfunctioning pacemaker. The diagnostic skills and patient referral were significantly improved (74.8% vs. 89.5%, p < 0.001; and 57.4% vs. 83%, p < 0.001).
TBC is an easy to remember and apply method to rule out severe abnormalities in ECGs of patients with pacemakers. TBC algorithm has a very good diagnostic capability and is easily applied by non-expert physicians with good results. |
| doi_str_mv | 10.5603/CJ.a2018.0079 |
| format | Article |
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The TBC method screens the ECG for any of the following findings: Tachycardia with pacing spikes, Bradycardia without spikes and Chaos with spikes unrelated to QRS-T complexes. T was considered to advise for patient assessment and B and C to require referral for urgent pacemaker evaluation. The diagnostic accuracy of the algorithm was validated using a cohort of 151 ECGs with normal and dysfunctional pacemakers. The effect of the algorithm was then evaluated for diagnostic skills and management of patients with pacemakers by non-cardiologists, comparing their diagnostic accuracy before and after teaching the algorithm.
The TBC algorithm had a sensitivity of 86% and a specificity of 94% in diagnosing a malfunctioning pacemaker. The diagnostic skills and patient referral were significantly improved (74.8% vs. 89.5%, p < 0.001; and 57.4% vs. 83%, p < 0.001).
TBC is an easy to remember and apply method to rule out severe abnormalities in ECGs of patients with pacemakers. TBC algorithm has a very good diagnostic capability and is easily applied by non-expert physicians with good results.</description><identifier>ISSN: 1897-5593</identifier><identifier>EISSN: 1898-018X</identifier><identifier>EISSN: 1897-5593</identifier><identifier>DOI: 10.5603/CJ.a2018.0079</identifier><identifier>PMID: 30155867</identifier><language>eng</language><publisher>Poland: Wydawnictwo Via Medica</publisher><subject>Algorithms ; Clinical Cardiology ; Electrocardiography ; Pacemakers ; Patients</subject><ispartof>Cardiology journal, 2020-05, Vol.27 (2), p.136-141</ispartof><rights>2020. This work is published under https://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © 2020 Via Medica 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8016021/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8016021/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30155867$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Higueras, Javier</creatorcontrib><creatorcontrib>Olmos, Carmen</creatorcontrib><creatorcontrib>Palacios-Rubio, Julián</creatorcontrib><creatorcontrib>Gómez-Polo, Juan Carlos</creatorcontrib><creatorcontrib>Martínez-Losas, Pedro</creatorcontrib><creatorcontrib>Ruiz-Pizarro, Virginia</creatorcontrib><creatorcontrib>Bover, Ramón</creatorcontrib><creatorcontrib>Pérez-Villacastín, Julián</creatorcontrib><title>TBC: A simple algorithm to rule out abnormalities in electrocardiograms of patients with pacemakers</title><title>Cardiology journal</title><addtitle>Cardiol J</addtitle><description>The aim of the study was to create a straightforward method to rule out abnormalities in electrocardiograms (ECGs) performed in patients with pacemakers.
The TBC method screens the ECG for any of the following findings: Tachycardia with pacing spikes, Bradycardia without spikes and Chaos with spikes unrelated to QRS-T complexes. T was considered to advise for patient assessment and B and C to require referral for urgent pacemaker evaluation. The diagnostic accuracy of the algorithm was validated using a cohort of 151 ECGs with normal and dysfunctional pacemakers. The effect of the algorithm was then evaluated for diagnostic skills and management of patients with pacemakers by non-cardiologists, comparing their diagnostic accuracy before and after teaching the algorithm.
The TBC algorithm had a sensitivity of 86% and a specificity of 94% in diagnosing a malfunctioning pacemaker. The diagnostic skills and patient referral were significantly improved (74.8% vs. 89.5%, p < 0.001; and 57.4% vs. 83%, p < 0.001).
TBC is an easy to remember and apply method to rule out severe abnormalities in ECGs of patients with pacemakers. TBC algorithm has a very good diagnostic capability and is easily applied by non-expert physicians with good results.</description><subject>Algorithms</subject><subject>Clinical Cardiology</subject><subject>Electrocardiography</subject><subject>Pacemakers</subject><subject>Patients</subject><issn>1897-5593</issn><issn>1898-018X</issn><issn>1897-5593</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNpdkctv1DAQxi1UREvh2GtlqRcuWfxYP9IDUol4VZW47IGbNXEmW7dJvNgJiP8eb18qnOb106eZ-Qg54WylNJPvm8sVCMbtijFTvyBH3Na2KvWPg7vcVErV8pC8zvmGMV0rJV6RQ8m4UlabI-I3H5tzekFzGHcDUhi2MYX5eqRzpGkpnbjMFNopphGGMAfMNEwUB_Rzih5SF-I2wZhp7OkOynyaM_1dFErlcYRbTPkNednDkPHtQzwmm8-fNs3X6ur7l2_NxVXlpeFz1XeGgxG99J32SoOH1irTgUHPhe0st8wI21rT1igF6q5ulUQuNdbt2vfymHy4l90t7YidL6skGNwuhRHSHxchuH8nU7h22_jLWcY1E7wIvHsQSPHngnl2Y8gehwEmjEt2gtW6_E-zPXr2H3oTlzSV65xY67Vgitl1oap7yqeYc8L-aRnO3N4911y6O_fc3r3Cnz6_4Il-tEv-BXA6l1o</recordid><startdate>20200518</startdate><enddate>20200518</enddate><creator>Higueras, Javier</creator><creator>Olmos, Carmen</creator><creator>Palacios-Rubio, Julián</creator><creator>Gómez-Polo, Juan Carlos</creator><creator>Martínez-Losas, Pedro</creator><creator>Ruiz-Pizarro, Virginia</creator><creator>Bover, Ramón</creator><creator>Pérez-Villacastín, Julián</creator><general>Wydawnictwo Via Medica</general><general>Via Medica</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20200518</creationdate><title>TBC: A simple algorithm to rule out abnormalities in electrocardiograms of patients with pacemakers</title><author>Higueras, Javier ; Olmos, Carmen ; Palacios-Rubio, Julián ; Gómez-Polo, Juan Carlos ; Martínez-Losas, Pedro ; Ruiz-Pizarro, Virginia ; Bover, Ramón ; Pérez-Villacastín, Julián</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c371t-fd71a72f3cd6c56acab857da7ec128d8180728b87b9e32e6d9b53e136e9b4cf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Algorithms</topic><topic>Clinical Cardiology</topic><topic>Electrocardiography</topic><topic>Pacemakers</topic><topic>Patients</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Higueras, Javier</creatorcontrib><creatorcontrib>Olmos, Carmen</creatorcontrib><creatorcontrib>Palacios-Rubio, Julián</creatorcontrib><creatorcontrib>Gómez-Polo, Juan Carlos</creatorcontrib><creatorcontrib>Martínez-Losas, Pedro</creatorcontrib><creatorcontrib>Ruiz-Pizarro, Virginia</creatorcontrib><creatorcontrib>Bover, Ramón</creatorcontrib><creatorcontrib>Pérez-Villacastín, Julián</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Cardiology journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Higueras, Javier</au><au>Olmos, Carmen</au><au>Palacios-Rubio, Julián</au><au>Gómez-Polo, Juan Carlos</au><au>Martínez-Losas, Pedro</au><au>Ruiz-Pizarro, Virginia</au><au>Bover, Ramón</au><au>Pérez-Villacastín, Julián</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>TBC: A simple algorithm to rule out abnormalities in electrocardiograms of patients with pacemakers</atitle><jtitle>Cardiology journal</jtitle><addtitle>Cardiol J</addtitle><date>2020-05-18</date><risdate>2020</risdate><volume>27</volume><issue>2</issue><spage>136</spage><epage>141</epage><pages>136-141</pages><issn>1897-5593</issn><eissn>1898-018X</eissn><eissn>1897-5593</eissn><abstract>The aim of the study was to create a straightforward method to rule out abnormalities in electrocardiograms (ECGs) performed in patients with pacemakers.
The TBC method screens the ECG for any of the following findings: Tachycardia with pacing spikes, Bradycardia without spikes and Chaos with spikes unrelated to QRS-T complexes. T was considered to advise for patient assessment and B and C to require referral for urgent pacemaker evaluation. The diagnostic accuracy of the algorithm was validated using a cohort of 151 ECGs with normal and dysfunctional pacemakers. The effect of the algorithm was then evaluated for diagnostic skills and management of patients with pacemakers by non-cardiologists, comparing their diagnostic accuracy before and after teaching the algorithm.
The TBC algorithm had a sensitivity of 86% and a specificity of 94% in diagnosing a malfunctioning pacemaker. The diagnostic skills and patient referral were significantly improved (74.8% vs. 89.5%, p < 0.001; and 57.4% vs. 83%, p < 0.001).
TBC is an easy to remember and apply method to rule out severe abnormalities in ECGs of patients with pacemakers. TBC algorithm has a very good diagnostic capability and is easily applied by non-expert physicians with good results.</abstract><cop>Poland</cop><pub>Wydawnictwo Via Medica</pub><pmid>30155867</pmid><doi>10.5603/CJ.a2018.0079</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| issn | 1897-5593 1898-018X 1897-5593 |
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| source | DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Algorithms Clinical Cardiology Electrocardiography Pacemakers Patients |
| title | TBC: A simple algorithm to rule out abnormalities in electrocardiograms of patients with pacemakers |
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