EFICACIA EN LA INTERPRETACION DEL TRAZO ELECTROCARDIOGRÁFICO POR LOS RESIDENTES DE URGENCIAS EN PACIENTES CON SÍNDROMES ISQUÉMICOS CORONARIOS AGUDOS EN EL SERVICIO DE URGENCIAS DEL HOSPITAL GENERAL VILLA DE LA SECRETARIA DE SALUD DEL DISTRITO FEDERAL

Abstract

The present study aimed to assess the effectiveness in the interpretation of the electrocardiographic stroke by the residents of emergencies in the presence of patients with ischemic syndromes coronary treble in the Hospital General Villa of the Secretariat of health of the Federal District. The study was of type: prospective, observational transversal and comparative which was held at the Villa General Hospital. He worked with residents of the specialty of surgical medical urgencies of three academic degrees. A test which showed them 6 different electrocardiograms in patients with diagnoses of some type of acute coronary ischemic Syndrome was performed, the evaluated electrocardiographic strokes were pace, P wave, PR interval, QRS segment as well as the differential electrocardiographic. Responses of different intervals and each ECG segments were handled as right or wrong, later grouped the correct answers for each segment or interpreted interval and by academic degree, the percentage of efficiency was obtained by adding all of these correct answers (of intervals and segments) of each electrocardiogram according to degree. The results show that the residents of first year has a better interpretation of the P wave and the PR interval, while second year residents have similar interpretations in the different segments, there is no important differences in the interpretation, while third year residents have a better interpretation of rhythm, the QRS segment as well as the differential electrocardiographic. The effectiveness calculated using the ANOVA test was F = 0.3817 which is less than the critical value F = 3.68 H0 is accepted, is taken as true. I.e., it is concluded that there is no significant difference between the rating of effectiveness between the three groups of residents.