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The interobserver agreement of ECG abnormalities using Minnesota codes in people with type 2 diabetes
- Source :
- PLoS ONE, PLoS ONE, Vol 16, Iss 8, p e0255466 (2021), PLoS ONE, 16(8 August):e0255466. Public Library of Science, Nijpels, G, Van Der Heijden, A A W A, Elders, P, Beulens, J W J & De Vet, H C W 2021, ' The interobserver agreement of ECG abnormalities using Minnesota codes in people with type 2 diabetes ', PLoS ONE, vol. 16, no. 8 August, e0255466 . https://doi.org/10.1371/journal.pone.0255466
- Publication Year :
- 2021
- Publisher :
- Public Library of Science, 2021.
-
Abstract
- Objectives To assess the interobserver agreement in categories of electrocardiogram (ECG) abnormalities using the Minnesota Code criteria. Methods We used a random sample of 180 ECGs from people with type 2 diabetes. ECG abnormalities were classified and coded using the Minnesota ECG Classification. Each ECG was independently rated on several abnormalities by an experienced rater (rater 1) and by two cardiologists (raters 2 and 3) trained to apply the Minnesota codes on four Minnesota codes; 1-codes as an indication for myocardial infarction, 4 en 5-codes as an indication for ischemic abnormalities, 3-codes as an indication for left ventricle hypertrophy, 7-1-codes as an indication for ventricular conduction abnormalities, and 8-3-codes as an indication for atrial fibrillation / atrial flutter. After all pairwise tables were summed, the overall agreement, the specific positive and negative agreement were calculated with a 95% confidence interval (CI) for each abnormality. Also, Kappa’s with a 95% CI were calculated. Results The overall agreement (with 95% CI) were for myocardial infarction, ischemic abnormalities, left ventricle hypertrophy, conduction abnormalities and atrial fibrillation/atrial flutter respectively: 0.87 (0.84–0.91), 0.79 (0.74–0.84), 0.81 (0.76–0.85), 0.93 (0.90–0.95), 0.96 (0.93–0.97). Conclusion This study shows that the overall agreement of the Minnesota code is good to excellent.
- Subjects :
- Male
Myocardial Infarction
Type 2 diabetes
Cardiovascular Medicine
Geographical locations
Electrocardiography
Endocrinology
Medical Conditions
Heart Rate
Risk Factors
Atrial Fibrillation
Medicine and Health Sciences
Myocardial infarction
Cell Cycle and Cell Division
Observer Variation
Multidisciplinary
Atrial fibrillation
Middle Aged
Type 2 Diabetes
Bioassays and Physiological Analysis
Cell Processes
Cardiovascular Diseases
Cardiology
Medicine
Hypertrophy, Left Ventricular
Abnormality
Arrhythmia
Research Article
medicine.medical_specialty
Endocrine Disorders
Science
Minnesota
Heart Ventricles
Research and Analysis Methods
Internal medicine
medicine
Diabetes Mellitus
Humans
cardiovascular diseases
Conduction abnormalities
business.industry
Electrophysiological Techniques
Biology and Life Sciences
Cell Biology
medicine.disease
Confidence interval
United States
Diabetes Mellitus, Type 2
Metabolic Disorders
North America
Cardiac Electrophysiology
People and places
business
Atrial flutter
Kappa
Subjects
Details
- Language :
- English
- ISSN :
- 19326203
- Volume :
- 16
- Issue :
- 8
- Database :
- OpenAIRE
- Journal :
- PLoS ONE
- Accession number :
- edsair.doi.dedup.....678ca7c301eb0f26c7224fd5f7436c0f