Diagnosis of right bundle branch block: a concordance study

Bundle branch block; Concordance

Bibliographic Details
Authors: Alventosa-Zaidin, M, Pera, Guillem, Roca Saumell, C, Mengual Miralles, N, Zamora Sanchez, M V, Gros Garcia, T, Francisco Pascual, Jaume
Format: article
Status:Published version
Publication Date:2019
Country:España
Institution:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repository:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:11351/4150
Online Access:https://hdl.handle.net/11351/4150
http://hdl.handle.net/11351/4150
Access Level:Open access
Keyword:Blocatge cardíac - Diagnòstic
DISEASES::Cardiovascular Diseases::Heart Diseases::Arrhythmias, Cardiac::Heart Block::Bundle-Branch Block
Other subheadings::Other subheadings::/diagnosis
ENFERMEDADES::enfermedades cardiovasculares::enfermedades cardíacas::arritmias cardíacas::bloqueo cardíaco::bloqueo de rama
Otros calificadores::Otros calificadores::/diagnóstico
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oai_identifier_str oai:recercat.cat:11351/4150
network_acronym_str ES
network_name_str España
repository_id_str
dc.title.none.fl_str_mv Diagnosis of right bundle branch block: a concordance study
title Diagnosis of right bundle branch block: a concordance study
spellingShingle Diagnosis of right bundle branch block: a concordance study
Alventosa-Zaidin, M
Blocatge cardíac - Diagnòstic
DISEASES::Cardiovascular Diseases::Heart Diseases::Arrhythmias, Cardiac::Heart Block::Bundle-Branch Block
Other subheadings::Other subheadings::/diagnosis
ENFERMEDADES::enfermedades cardiovasculares::enfermedades cardíacas::arritmias cardíacas::bloqueo cardíaco::bloqueo de rama
Otros calificadores::Otros calificadores::/diagnóstico
title_short Diagnosis of right bundle branch block: a concordance study
title_full Diagnosis of right bundle branch block: a concordance study
title_fullStr Diagnosis of right bundle branch block: a concordance study
title_full_unstemmed Diagnosis of right bundle branch block: a concordance study
title_sort Diagnosis of right bundle branch block: a concordance study
dc.creator.none.fl_str_mv Alventosa-Zaidin, M
Pera, Guillem
Roca Saumell, C
Mengual Miralles, N
Zamora Sanchez, M V
Gros Garcia, T
Francisco Pascual, Jaume
author Alventosa-Zaidin, M
author_facet Alventosa-Zaidin, M
Pera, Guillem
Roca Saumell, C
Mengual Miralles, N
Zamora Sanchez, M V
Gros Garcia, T
Francisco Pascual, Jaume
author_role author
author2 Pera, Guillem
Roca Saumell, C
Mengual Miralles, N
Zamora Sanchez, M V
Gros Garcia, T
Francisco Pascual, Jaume
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Institut Català de la Salut
[Alventosa-Zaidin M] Bon Pastor, Centre d’atenció primària, Institut Català de la salut, Barcelona, Spain. [Pera G] Unitat de Suport a la Recerca Metropolitana Nord, Fundació Institut Universitari per a la recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Mataró, Spain. [Roca Saumell C] EAP El Clot, Centre d’atenció primària, Institut Català de la salut, Barcelona, Spain. Universitat de Barcelona, Barcelona, Spain. [Mengual Miralles N, Gros Garcia T] EAP Ronda Cerdanya, Centre d’atenció primària, Institut Català de la salut, Mataró, Spain. [Zamora Sanchez MV] EAP El Gòtic, Centre d’atenció primària, Institut Català de la salut, Barcelona, Spain. [Francisco-Pascual J] Unitat d’arrítmies, Servei de Cardiologia, Hospital Universitari Vall d'Hebron, Barcelona, Spain. Vall d’Hebron Institut de Recerca, Barcelona, Spain. Universitat Autònoma de Barcelona, Barcelona, Spain. CIBER-CV, Barcelona, Spain.
Vall d'Hebron Barcelona Hospital Campus
dc.subject.none.fl_str_mv Blocatge cardíac - Diagnòstic
DISEASES::Cardiovascular Diseases::Heart Diseases::Arrhythmias, Cardiac::Heart Block::Bundle-Branch Block
Other subheadings::Other subheadings::/diagnosis
ENFERMEDADES::enfermedades cardiovasculares::enfermedades cardíacas::arritmias cardíacas::bloqueo cardíaco::bloqueo de rama
Otros calificadores::Otros calificadores::/diagnóstico
topic Blocatge cardíac - Diagnòstic
DISEASES::Cardiovascular Diseases::Heart Diseases::Arrhythmias, Cardiac::Heart Block::Bundle-Branch Block
Other subheadings::Other subheadings::/diagnosis
ENFERMEDADES::enfermedades cardiovasculares::enfermedades cardíacas::arritmias cardíacas::bloqueo cardíaco::bloqueo de rama
Otros calificadores::Otros calificadores::/diagnóstico
description Bundle branch block; Concordance
publishDate 2019
dc.date.none.fl_str_mv 2019
2019
2019
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/11351/4150
http://hdl.handle.net/11351/4150
url https://hdl.handle.net/11351/4150
http://hdl.handle.net/11351/4150
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv BMC Family Practice;20(1)
https://bmcfampract.biomedcentral.com/articles/10.1186/s12875-019-0946-3
dc.rights.none.fl_str_mv Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv BMC
publisher.none.fl_str_mv BMC
dc.source.none.fl_str_mv Scientia
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869410882963898368
spelling Diagnosis of right bundle branch block: a concordance studyAlventosa-Zaidin, MPera, GuillemRoca Saumell, CMengual Miralles, NZamora Sanchez, M VGros Garcia, TFrancisco Pascual, JaumeBlocatge cardíac - DiagnòsticDISEASES::Cardiovascular Diseases::Heart Diseases::Arrhythmias, Cardiac::Heart Block::Bundle-Branch BlockOther subheadings::Other subheadings::/diagnosisENFERMEDADES::enfermedades cardiovasculares::enfermedades cardíacas::arritmias cardíacas::bloqueo cardíaco::bloqueo de ramaOtros calificadores::Otros calificadores::/diagnósticoBundle branch block; ConcordanceBloqueig de branca; ConcordançaBloqueo de rama; ConcordanciaBACKGROUND: Right bundle branch block is one of the most common electrocardiographic abnormalities. Most cases of right bundle branch block are detected in asymptomatic patients in primary care, so a correct interpretation of electrocardiograms (ECGs) at this level is necessary. The objective of this research is to determine the degree of concordance in the diagnosis of incomplete and complete right bundle branch block between four primary care researchers and a cardiologist. METHODS: The research design is a retrospective cohort study of patients over 18 years of ages of patients over 18 years of ages who underwent an ECG for any reason and were diagnosed with right bundle branch block by their physician. The physicians participating, 4 primary care researchers and a cardiologist were specialized in interpreting electrocardiographic records. The diagnosis of incomplete and complete right bundle branch block was recorded and other secondary variables were analysed. In case of diagnostic discordance between the researchers, the ECGs were reviewed by an expert cardiologist, who interpreted them, established the diagnosis and analysed the possible causes for the discrepancy. RESULTS: We studied 160 patients diagnosed with right bundle branch block by their general practise. The patients had a mean age of 64.8 years and 54% of them were men. The concordance in the diagnosis of incomplete right bundle branch block showed a Fleiss' kappa index (k) of 0.71 among the five researchers and of 0.85 among only the primary care researchers. The k for complete right bundle branch block was 0.93 among the five researchers and 0.96 among only the primary care researchers. CONCLUSION: The interobserver agreement in the diagnosis of right bundle branch block performed by physicians specialized in ECG interpretation (primary care physicians and a cardiologist) was very good. The variability was greater for the diagnosis of incomplete right bundle branch block.BMCInstitut Català de la Salut[Alventosa-Zaidin M] Bon Pastor, Centre d’atenció primària, Institut Català de la salut, Barcelona, Spain. [Pera G] Unitat de Suport a la Recerca Metropolitana Nord, Fundació Institut Universitari per a la recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Mataró, Spain. [Roca Saumell C] EAP El Clot, Centre d’atenció primària, Institut Català de la salut, Barcelona, Spain. Universitat de Barcelona, Barcelona, Spain. [Mengual Miralles N, Gros Garcia T] EAP Ronda Cerdanya, Centre d’atenció primària, Institut Català de la salut, Mataró, Spain. [Zamora Sanchez MV] EAP El Gòtic, Centre d’atenció primària, Institut Català de la salut, Barcelona, Spain. [Francisco-Pascual J] Unitat d’arrítmies, Servei de Cardiologia, Hospital Universitari Vall d'Hebron, Barcelona, Spain. Vall d’Hebron Institut de Recerca, Barcelona, Spain. Universitat Autònoma de Barcelona, Barcelona, Spain. CIBER-CV, Barcelona, Spain.Vall d'Hebron Barcelona Hospital Campus201920192019info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/11351/4150http://hdl.handle.net/11351/4150Scientiareponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésBMC Family Practice;20(1)https://bmcfampract.biomedcentral.com/articles/10.1186/s12875-019-0946-3Attribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:11351/41502026-05-29T05:05:01Z
score 15,811543

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