Aims. Traditional long-term ECG monitoring systems have primarily been used by cardiologist. New remote and wearable easy-to-use devices have led to increased use of ECG recordings also outside cardiology clinics. The aims of this study were to assess the feasibility and diagnostic accuracy of interpretation of the one-lead ECG recordings from a patch ECG device (ECG247 Smart Heart Sensor system) by general practitioners (GP). Methods. Norwegian GPs were invited to digitally assess 10 long-term ECG recordings with different arrhythmias performed by the ECG247 Smart Heart Sensor system. For all ECG examinations, the presence/absence of different arrhythmias was registered. Results. A total of 40 GPs accepted the invitation and assessed all the 10 long-term ECG recordings. All the tests were assessed as interpretable by all the GPs. Arrhythmias (atrial fibrillation/flutter, supraventricular tachycardia, and ventricular tachycardia) were correctly identified in most cases, with sensitivity of 98% (95% CI 95-99%), specificity of 75% (95% CI 68-82%), and diagnostic accuracy of 89% (85-92%). Incorrect automatic system algorithm interpretations were rarely corrected by the GPs. Conclusion. GPs interpreted one-lead recordings by the ECG247 Smart Heart Sensor system with high diagnostic accuracy for common arrhythmias. However, in cases with rare arrhythmias, we recommend consulting a cardiologist to confirm the diagnosis before treatment is initiated. This trial is registered with NCT04700865.

Jarle Jortveit

Miroslav Boskovic

Edvard Liljedahl Sandberg

Jonas Vegsundvåg

Sigrun Halvorsen

International Journal of Telemedicine and Applications

The overall aim of the International Journal of Telemedicine and Applications is to bring together science and applications of medical practice and medical care at a distance as well as their supporting technologies such as, computing, communications, and networking technologies with emphasis on telemedicine techniques and telemedicine applications. It is directed at practicing engineers, academic researchers, as well as doctors, nurses, etc.    Telemedicine is an information technology that enables doctors to perform medical consultations, diagnoses, and treatments, as well as medical education, away from patients. For example, doctors can remotely examine patients via remote viewing monitors and sound devices, and/or sampling physiological data using telecommunication. Telemedicine technology is applied to areas of emergency healthcare, videoconsulting, telecardiology, telepathology, teledermatology, teleophthalmology, teleoncology, telepsychiatry, teledentistry, etc.    International Journal of Telemedicine and Applications will highlight the continued growth and new challenges in telemedicine, applications, and their supporting technologies, for both application development and basic research. Papers should emphasize original results or case studies relating to the theory and/or applications of telemedicine. Tutorial papers, especially those emphasizing multidisciplinary views of telemedicine, are also welcome. International Journal of Telemedicine and Applications employs a paperless, electronic submission and evaluation system to promote a rapid turnaround in the peer-review process.

The International Journal of Telemedicine and Applications aims to bring together the science and applications of medical practice and care at a distance, along with supporting technologies such as computing, communications, and networking. It focuses on telemedicine techniques and applications, targeting practicing engineers, academic researchers, doctors, nurses, and other professionals. Telemedicine is an information technology that enables doctors to conduct medical consultations, diagnoses, and treatments, as well as medical education, away from patients. For instance, doctors can remotely examine patients using remote viewing monitors and sound devices, or by sampling physiological data through telecommunications. Telemedicine technology is applied in areas such as emergency healthcare, video consulting, telecardiology, telepathology, teledermatology, teleophthalmology, teleoncology, telepsychiatry, and teledentistry. The International Journal of Telemedicine and Applications will highlight the ongoing growth and new challenges in telemedicine, its applications, and supporting technologies, addressing both application development and basic research. Papers should emphasize original results or case studies related to the theory and/or applications of telemedicine. Tutorial papers, especially those that emphasize multidisciplinary perspectives on telemedicine, are also welcome. The International Journal of Telemedicine and Applications employs a paperless electronic submission and evaluation system to promote a rapid turnaround in the peer-review process.

《国际远程医疗与应用期刊》旨在汇聚远程医疗实践及其支持技术的科学与应用，包括计算、通信和网络技术，重点关注远程医疗技术和应用。该期刊面向工程师、学术研究者、医生、护士等专业人士。远程医疗是一种信息技术，使医生能够在远离患者的情况下进行医疗咨询、诊断和治疗，以及医学教育。例如，医生可以通过远程监视器和声音设备远程检查患者，或通过电信采集生理数据。远程医疗技术应用于紧急医疗、视频咨询、远程心脏病学、远程病理学、远程皮肤病学、远程眼科学、远程肿瘤学、远程精神病学、远程牙科等领域。《国际远程医疗与应用期刊》将突出远程医疗、应用及其支持技术的持续增长和新挑战，涵盖应用开发和基础研究。论文应强调与远程医疗理论和/或应用相关的原创成果或案例研究。特别欢迎强调多学科视角的教程论文。《国际远程医疗与应用期刊》采用无纸化电子提交和评估系统，以促进同行评审过程的快速周转。

High Diagnostic Accuracy of Long-Term Electrocardiogram Interpretation by General Practitioners

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Journal Info

Category	Quartile
HEALTH CARE SCIENCES & SERVICES	2