THE DIAGNOSTIC GAP IN ACUTE MYOCARDIAL INFARCTION: A SYSTEMATIC REVIEW OF PHYSICIAN ACCURACY IN INTERPRETING ST-SEGMENT ELEVATION
- Clinical Director, Department of Emergency Medicine, Peerless Hospitex Hospital and Research Centre Limited, Kolkata, India.
- PG Resident, Department of Forensic Medicine and Toxicology, All India Institute of Medical Sciences, Bhopal, India.
- Senior Registrar, Department of Emergency Medicine, Peerless Hospitex Hospital and Research Centre Limited, Kolkata, India.
- Abstract
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- Corresponding Author
Background: The 12-lead electrocardiogram (ECG) is the primary diagnostic tool for identifying ST-segment elevation myocardial infarction (STEMI). However, physician interpretation is subject to significant variability. This systematic review and meta-analysis aimed to quantify the diagnostic accuracy of physicians in interpreting ST-segment elevation (STE) and identify factors influencing performance. Methods: We searched PubMed, EMBASE, and the Cochrane Library for studies published between 2010 and 2025 assessing physician accuracy in identifying STEMI/STE on 12-lead ECGs. Studies were included if they provided sufficient data to calculate sensitivity and specificity against a reference standard (coronary angiography, expert consensus, or final clinical diagnosis). A random-effects model was used to calculate pooled diagnostic metrics.
Indraneel Dasgupta et, al (2026); THE DIAGNOSTIC GAP IN ACUTE MYOCARDIAL INFARCTION: A SYSTEMATIC REVIEW OF PHYSICIAN ACCURACY IN INTERPRETING ST-SEGMENT ELEVATION, Int. J. of Adv. Res., 14 (03), 849-855, ISSN 2320-5407. DOI URL: https://dx.doi.org/10.21474/IJAR01/23007
Clinical Director, Department of Emergency Medicine, Peerless Hospital and Research Centre Limited, Kolkata, India.
India
