{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T22:55:38Z","timestamp":1782255338816,"version":"3.54.5"},"reference-count":15,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2014,11,4]],"date-time":"2014-11-04T00:00:00Z","timestamp":1415059200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Noninvasive Electrocardiol"],"published-print":{"date-parts":[[2015,5]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The aim of the study is to contrast the role of conventional ambulatory electrocardiographic monitoring (AEM) artifacts with a less emphasized problem with potentially more serious implications, that is, the failure to recognize, and therefore misinterpret, a genuine arrhythmia episode in the AEM recording.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study material included 500 Holter recordings and 500 recordings from the cardiac telemetry unit.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Electrocardiographic (ECG) artifacts were more common in telemetry recordings (5.6%) compared to Holter recordings (4%) for a total of 4.8%. There were 35 examples of misinterpretation of AEM recordings (3.5%). These were significantly more common in telemetry recordings (2.6%) compared to Holter recordings (0.9%). The most common ECG artifacts were examples of pseudo ventricular tachyarrhythmia (VT). The majority of misinterpretation (26 of 35 examples) were fast supraventricular tachyarrhythmias with aberrant QRS (including six examples of atrial flutter with periods of 1:1 atrioventricular conduction) that were misdiagnosed as ventricular VT. Other examples were misinterpretation of arrhythmic episodes consistent with sick sinus syndrome, pacemaker malfunction, and long QT syndrome. Only 5 of 48 examples of AEM artifacts resulted in management errors of commission or errors of omission compared to all 35 examples of misinterpretation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Compared to conventional artifacts in AEM, misinterpretation of nonartifactual arrhythmic episodes consistently resulted in management errors. Misinterpretation was significantly more common with telemetry recordings compared to Holter ECG. This highlights the need for more appropriate training of the entire clinical team in charge of the management of the cardiac telemetry unit.<\/jats:p><\/jats:sec>","DOI":"10.1111\/anec.12222","type":"journal-article","created":{"date-parts":[[2014,11,4]],"date-time":"2014-11-04T12:00:54Z","timestamp":1415102454000},"page":"282-289","source":"Crossref","is-referenced-by-count":11,"title":["Ambulatory Electrocardiographic Monitoring between Artifacts and Misinterpretation, Management Errors of Commission and Errors of Omission"],"prefix":"10.1111","volume":"20","author":[{"given":"Nabil","family":"El\u2010Sherif","sequence":"first","affiliation":[{"name":"SUNY Downstate Medical Center  Brooklyn NY"},{"name":"NY Harbor VA Healthcare System  Brooklyn NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gioia","family":"Turitto","sequence":"additional","affiliation":[{"name":"New York Methodist Hospital  Brooklyn NY"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,11,4]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/circ.104.25.3169"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1126\/science.134.3486.1214"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-8703(76)80220-7"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1979.03630440067022"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(87)91124-6"},{"key":"e_1_2_5_7_1","first-page":"2111","volume-title":"Hurst's the heart","author":"Hurst JW","year":"1994"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8167.1997.tb01025.x"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199910213411704"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9343(01)00627-1"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-8703(02)00065-0"},{"key":"e_1_2_5_12_1","doi-asserted-by":"crossref","first-page":"90","DOI":"10.4037\/ajcc2007.16.1.90","article-title":"Electrocardiographic artifacts","volume":"16","author":"Keller KB","year":"2007","journal-title":"Am J Crit Care"},{"key":"e_1_2_5_13_1","first-page":"425","article-title":"Motion artifact suppression in the ECG signal by successive modification in frequency and time","volume":"2013","author":"Subramaniam SR","year":"2013","journal-title":"Conf Proc IEEE, Eng Med Biol Soc"},{"key":"e_1_2_5_14_1","first-page":"2096","article-title":"Real time digitally assisted analog motion artifact reduction in ambulatory ECG monitoring system","volume":"2012","author":"Kim S","year":"2012","journal-title":"Conf Proc IEEE Eng Med Biol Soc"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.2009.02180.x"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2009.03.043"}],"container-title":["Annals of Noninvasive Electrocardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fanec.12222","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/anec.12222","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T16:47:58Z","timestamp":1696351678000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/anec.12222"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,11,4]]},"references-count":15,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2015,5]]}},"alternative-id":["10.1111\/anec.12222"],"URL":"https:\/\/doi.org\/10.1111\/anec.12222","archive":["Portico"],"relation":{},"ISSN":["1082-720X","1542-474X"],"issn-type":[{"value":"1082-720X","type":"print"},{"value":"1542-474X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,11,4]]}}}