Examining the Specificity of Smartphone ECG Devices in Decision-Making for ST-Elevation Myocardial Infarction and Non-ST-Elevation Myocardial Infarction
Background & Objectives: Electrocardiography (ECG) stands as a cornerstone diagnostic tool for assessing cardiac health, particularly in ruling out abnormalities. The integration of smartphone devices presents a promising avenue for expedited detection of cardiac irregularities. This study aims...
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| Format: | Article |
| Language: | English |
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Indonesian Heart Association
2025-01-01
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| Series: | Majalah Kardiologi Indonesia |
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| Online Access: | https://ijconline.id/index.php/ijc/article/view/1740 |
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| author | Sahil mahajan Salil Garg Yogendra Singh richa sharma Tanuj Bhatia nitin chandola deeksha agarwal |
| author_facet | Sahil mahajan Salil Garg Yogendra Singh richa sharma Tanuj Bhatia nitin chandola deeksha agarwal |
| author_sort | Sahil mahajan |
| collection | DOAJ |
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Background & Objectives: Electrocardiography (ECG) stands as a cornerstone diagnostic tool for assessing cardiac health, particularly in ruling out abnormalities. The integration of smartphone devices presents a promising avenue for expedited detection of cardiac irregularities. This study aims to evaluate the diagnostic efficacy of smartphone ECG devices in subjects admitted to Cardiac Care Units (CCUs) and Cardiac Intensive Care Units (CICUs).
Methods: A retrospective analysis was conducted on a cohort comprising 62 patients presenting with cardiac symptoms. Utilizing smartphone ECG devices as the index, 12-lead ECG tests were administered alongside the Gold Standard ECG machine for comparison among patients in CCUs and CICUs. Diagnostic decisions concerning the presence of ST-Elevation Myocardial Infarction (STEMI) or Non-ST-Elevation Myocardial Infarction (NSTEMI) were made by a team of cardiologists following a meticulous review of both sets of ECG reports.
Results: Data analysis was conducted on 56 patients. The smartphone-based ECG device exhibited 100% specificity, 93% sensitivity, 80% Negative Predictive Value, and 100% Positive Predictive Value, yielding an F-score of 0.96 and a Mathew Correlation Coefficient value of 0.86.
Discussions: This study unequivocally underscores the significant potential of the Spandan ECG device in accurately identifying a range of cardiac abnormalities, including critical conditions such as STEMI and ischemia. Despite its portable nature, smartphone ECG technology demonstrates utility within Critical Care Units for timely monitoring and diagnosis.
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| format | Article |
| id | doaj-art-dd0c8711ce4b4ee48ebfa265631900a2 |
| institution | Kabale University |
| issn | 0126-3773 2620-4762 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Indonesian Heart Association |
| record_format | Article |
| series | Majalah Kardiologi Indonesia |
| spelling | doaj-art-dd0c8711ce4b4ee48ebfa265631900a22025-01-10T16:38:12ZengIndonesian Heart AssociationMajalah Kardiologi Indonesia0126-37732620-47622025-01-0146110.30701/ijc.1740Examining the Specificity of Smartphone ECG Devices in Decision-Making for ST-Elevation Myocardial Infarction and Non-ST-Elevation Myocardial InfarctionSahil mahajan0Salil Garg1Yogendra Singh2richa sharma3Tanuj Bhatia4nitin chandola5deeksha agarwal6Associate Professor, Department of Cardiology, Shri Guru Ram Rai Institute of Medical and health Sciences, Dehradun, IndiaAssociate Professor, Department of Cardiology, Shri Guru Ram Rai Institute of Medical and health Sciences, Dehradun, IndiaInterventional Cardiologist Department of Cardiology, Max Super-specialty Hospital, Dehradun, IndiaAssociate Professor, Department of Cardiology, Shri Guru Ram Rai Institute of Medical and health Sciences, Dehradun, IndiaAssociate Professor Department of Cardiology, Shree Mahant Indresh Hospital, Dehradun, IndiaTech Lead, Sunfox TechnologiesClinical Researcher Department of Research and Technology, Sunfox Technologies Pvt. Ltd, Dehradun, Background & Objectives: Electrocardiography (ECG) stands as a cornerstone diagnostic tool for assessing cardiac health, particularly in ruling out abnormalities. The integration of smartphone devices presents a promising avenue for expedited detection of cardiac irregularities. This study aims to evaluate the diagnostic efficacy of smartphone ECG devices in subjects admitted to Cardiac Care Units (CCUs) and Cardiac Intensive Care Units (CICUs). Methods: A retrospective analysis was conducted on a cohort comprising 62 patients presenting with cardiac symptoms. Utilizing smartphone ECG devices as the index, 12-lead ECG tests were administered alongside the Gold Standard ECG machine for comparison among patients in CCUs and CICUs. Diagnostic decisions concerning the presence of ST-Elevation Myocardial Infarction (STEMI) or Non-ST-Elevation Myocardial Infarction (NSTEMI) were made by a team of cardiologists following a meticulous review of both sets of ECG reports. Results: Data analysis was conducted on 56 patients. The smartphone-based ECG device exhibited 100% specificity, 93% sensitivity, 80% Negative Predictive Value, and 100% Positive Predictive Value, yielding an F-score of 0.96 and a Mathew Correlation Coefficient value of 0.86. Discussions: This study unequivocally underscores the significant potential of the Spandan ECG device in accurately identifying a range of cardiac abnormalities, including critical conditions such as STEMI and ischemia. Despite its portable nature, smartphone ECG technology demonstrates utility within Critical Care Units for timely monitoring and diagnosis. https://ijconline.id/index.php/ijc/article/view/1740Digital health, Electrocardiography, mHealth, Ischemia, Smartphone ECG, ST elevation myocardial infarction |
| spellingShingle | Sahil mahajan Salil Garg Yogendra Singh richa sharma Tanuj Bhatia nitin chandola deeksha agarwal Examining the Specificity of Smartphone ECG Devices in Decision-Making for ST-Elevation Myocardial Infarction and Non-ST-Elevation Myocardial Infarction Majalah Kardiologi Indonesia Digital health, Electrocardiography, mHealth, Ischemia, Smartphone ECG, ST elevation myocardial infarction |
| title | Examining the Specificity of Smartphone ECG Devices in Decision-Making for ST-Elevation Myocardial Infarction and Non-ST-Elevation Myocardial Infarction |
| title_full | Examining the Specificity of Smartphone ECG Devices in Decision-Making for ST-Elevation Myocardial Infarction and Non-ST-Elevation Myocardial Infarction |
| title_fullStr | Examining the Specificity of Smartphone ECG Devices in Decision-Making for ST-Elevation Myocardial Infarction and Non-ST-Elevation Myocardial Infarction |
| title_full_unstemmed | Examining the Specificity of Smartphone ECG Devices in Decision-Making for ST-Elevation Myocardial Infarction and Non-ST-Elevation Myocardial Infarction |
| title_short | Examining the Specificity of Smartphone ECG Devices in Decision-Making for ST-Elevation Myocardial Infarction and Non-ST-Elevation Myocardial Infarction |
| title_sort | examining the specificity of smartphone ecg devices in decision making for st elevation myocardial infarction and non st elevation myocardial infarction |
| topic | Digital health, Electrocardiography, mHealth, Ischemia, Smartphone ECG, ST elevation myocardial infarction |
| url | https://ijconline.id/index.php/ijc/article/view/1740 |
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