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215 The Accuracy in Interpreting the Paediatric Electrocardiogram and the Need for Further Training
  1. JS Jheeta1,
  2. O Narayan2,
  3. T Krasemann3
  1. 1Department of Paediatrics and Child Health, Kings College Hospital
  2. 2Department of Paediatrics and Child Health, Lewisham Hospital NHS Trust
  3. 3Department of Paediatric Cardiology, Guy’s & St Thomas’ NHS Foundation Trust, London, UK


Background and aims Accurate interpretation of the paediatric ECG is of great clinical significance and safety in managing unwell children. Paediatric trainees are assumed adequate knowledge in interpreting ECGs but there are limited studies demonstrating this.

Methods In an online survey-based questionnaire, participants interpreted 10 common clinical conditions with recognisable ECGs, including a normal paediatric and neonatal ECG. A brief educational page followed, then 10 different post-test ECGs on the same conditions. Brief demographics were collected on participant’s grade and previous ECG training.

Results 764(n) participants accessed the online survey. Trainees completing only the first 10 ECGs we described as the ‘10-test’, and those completing the full survey with 10-test and 10-post-test ECGs after reading our educational material, as the ‘20-test’.

Abstract 215 Table 1

Conclusions Our study is the largest of its kind assessing ECG interpretation in UK Paediatric practice. Only 27.9% participants had previous formal training, with training and our educational material reflecting improvements by upto 13%. Without routine access to ECG interpretation by tertiary cardiology centres, more formal training needs incorporating into the UK Paediatric training program to accurately identify significant ECG anomalies, inform clinical decisions and optimise patient safety.

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