The Re- Interpretation and Analysis of Results of Non-Pathological Electrocardiographies in Emergency Department

Electrocardiography(ECG) is an important factor in the evaluation of the pathology of patients who are referred to the emergency department. Correct and timely interpretation of electrocardiography is important for potentially life threatening cardiovascular diseases and electrolyte changes. Despite new and expensive technological developments in diagnosis, electrocardiography continues to be evident and vital because it is both non-invasive and inexpensive in the case of acute myocardial infarction. In our study, the patients with no pathologic electrocardiography findings in a Training and Research Hospital emergency medicine department without consideration of the triage area, (between 01.12.2015 - 30.05.2016) were included The study protocol was designed as prospective, descriptive and observational. As results,93.6% of the patients had no chronic diseases and 4.9% were hypertensive patients. Electrocardiographies were detected as sinus rhythm in 96.1% of the patients. Pathological findings were found in P wave morphology as 9.8%.. The most frequent pathologic diagnosis was P mitrale as 9.2%. The difference between ratios, rates, PR, QTc, Axis, P wave and ST segment ratings was found to be statistically significant in terms of the evaluating physicians. All physicians working in emergency departments should be provided with occasional electrocardiography training. These trainings will help to evaluate electrocardiographies that can be skipped or misdiagnosed as well as to provide correct healthcare services by providing accurate awareness of pathologic findings that will not be considered clinical clinically