Table 2.
Responses to section 2 of the questionnaire
| ECG number and presentation | Question | PC, %a | C, %a | Unanswered/illegible | |
|---|---|---|---|---|---|
|
| |||||
| PC (% of 262) | C (% of 20) | ||||
| ECG1 = left axis and atrial ectopic | Normal/abnormal answered correctly | 54 | 95 | 7 | 0 |
| Diagnosis answered correctly | 48 | 73 | 59 | 5 | |
| Reassure | 68 | 50 | |||
| ‘40-year-old female with flutters’ | Treat in primary care | 14 | 5 | ||
| Refer as outpatient | 15 | 35 | 19 | 0 | |
| Refer as emergency | 1 | 0 | |||
| Other | 2 | 10 | |||
|
| |||||
| ECG2 = ST elevation | Normal/abnormal answered correctly | 99 | 100 | 4 | 0 |
| RED FLAG | Diagnosis answered correctly | 78 | 100 | 25 | 0 |
| Reassure | 0 | 0 | |||
| ‘55-year-old male, syncope at the gym’ | Treat in primary care | 1 | 0 | ||
| Refer as outpatient | 13 | 0 | 13 | 0 | |
| Refer as emergency | 85 | 100 | |||
| Other | 1 | 0 | |||
|
| |||||
| ECG3 = atrial fibrillation | Normal/abnormal answered correctly | 98 | 100 | 5 | 0 |
| Diagnosis answered correctly | 90 | 95 | 16 | 0 | |
| ‘75-year-old female, diabetic, no symptoms’ | Reassure | 2 | 0 | ||
| Treat in primary care | 19 | 36 | |||
| Refer as outpatient | 75 | 57 | 14 | 0 | |
| Refer as emergency | 3 | 0 | |||
| Other | 1 | 5 | |||
|
| |||||
| ECG4 = normal sinus rhythm | Normal/abnormal answered correctly | 64 | 75 | 12 | 0 |
| Diagnosis answered correctly | NA | NA | NA | NA | |
| Reassure | 36 | 5 | |||
| ‘50-year-old female, sudden onset and offset regular palpitations’ | Treat in primary care | 11 | 10 | ||
| Refer as outpatient | 44 | 75 | 30 | 0 | |
| Refer as emergency | 3 | 5 | |||
| Other | 6 | 5 | |||
|
| |||||
| ECG5 = prolonged | Normal/abnormal answered correctly | 80 | 100 | 7 | 0 |
| QT interval RED FLAG | Diagnosis answered correctly | 37 | 100 | 40 | 0 |
| Reassure | 25 | 0 | 24 | 0 | |
| ‘16-year-old female, blackout in school assembly’ | Treat in primary care | 5 | 0 | ||
| Refer outpatient | 40 | 20 | |||
| Refer as emergency | 25 | 80 | |||
| Other | 6 | 0 | |||
|
| |||||
| ECG6 = sinus rhythm, auto-report states AF | Normal/abnormal answered correctly | 16 | 45 | 13 | 0 |
| Diagnosis answered correctly | NA | NA | NA | NA | |
| Reassure | 10 | 22 | |||
| ‘81-year-old female, breathless’ | Treat in primary care | 18 | 33 | ||
| Refer as outpatient | 45 | 28 | 31 | 10 | |
| Refer as emergency | 20 | 0 | |||
| Other | 7 | 17 | |||
a
% of attempted answers. Shaded = electrophysiologists’ opinion of best management option. Bold = notable results. AF = atrial fibrillation. C = cardiology. ECG = electrocardiogram. NA = not applicable. PC = primary care.