Avaliação da capacidade de interpretação de algumas alterações electrocardiográficas por clínicos de pequenos animais em Medicina Veterinária
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2010
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No presente estudo foi elaborado um questionário para avaliar a capacidade de interpretação de electrocardiogramas por médicos veterinários. Este posteriormente foi
respondido por 3 grupos com diferentes graus de experiência, os estagiários, médicos veterinários com menos de 5 anos de experiência, e médicos veterinários com mais de 5 anos de experiência, de forma a analisar as diferenças ao nível da capacidade interpretativa de cada grupo e do total dos inquiridos. As variáveis em estudo utilizadas foram o nível de experiência, o grau académico, o interesse em cardiologia, a formação na cardiologia, e o número de electrocardiogramas interpretados em média semanalmente, para verificar como estas influenciam as capacidades interpretativas dos participantes. Efectua-se também uma revisão da fisiologia cardíaca, a forma como o electrocardiograma é realizado e como este é interpretado, e as principais arritmias que podem existir. Verificou-se que o nível de experiência e o número de ECGs interpretados em média semanalmente, afectam a capacidade de interpretação de ECG, havendo uma relação directa destes factores nos inquiridos. Já em relação a esta mesma capacidade ser afectada pelo grau académico, formação e interesse em cardiologia, tal não foi observado, não se tendo
observado qualquer relação.O grupo dos estagiários foi aquele onde houve uma maior variação individual, havendo portanto uma menor concordância dentro deste grupo. Foram também estes que
demonstraram a maior dificuldade no estabelecimento de um diagnóstico para os diversos ECGs apresentados. Os médicos veterinários com menos de 5 anos de experiência foram aqueles que obtiveram melhores resultados em todas as análises realizadas, e onde se registou menor número de questões por responder. Nos médicos veterinários com mais de 5 anos de experiência, houve muitosquestionários sem qualquer questão respondida, o que afectou os resultados obtidos por este grupo na análise dos diversos parâmetros variáveis.
In this study a questionnaire was designed to assess the ability of interpretation of electrocardiograms by veterinarians. This was later answered by three groups with different degrees of experience, trainees, veterinarians under 5 years of experience, and veterinarians with over 5 years of experience in order to analyze the differences in the interpretive capacity of each group and the total of respondents. The variables used were the level of experience, academic degree, interest in cardiology, training in cardiology, and the number of electrocardiograms interpreted in average weekly to see how they influence the interpretive abilities of the participants. It was also carried out the study of cardiac physiology, how the electrocardiogram is performed, how it is interpreted, and the main existing arrhythmias. It was found that the degree of experience and the number of ECGs interpreted in average weekly affected the ability of ECG interpretation, with a direct relationship of these factors with the latest. The same capacity wasn`t affected by the academic degree, training and interest in cardiology, and no relation was observed between these. The group of trainees was the one where there was greater individual variation, so there is less agreement within this group. They were also the group who demonstrated the biggest difficulty in establishing a diagnosis for the ECGs presented. Veterinarians with less than 5 years of experience were those who obtained better results in all tests performed, and they were the ones who had fewer questions unanswered. In the vets with more than five years of experience, there were many questionnaires without any question answered, which affected the results obtained by this group in the analysis of the different variable parameters.
In this study a questionnaire was designed to assess the ability of interpretation of electrocardiograms by veterinarians. This was later answered by three groups with different degrees of experience, trainees, veterinarians under 5 years of experience, and veterinarians with over 5 years of experience in order to analyze the differences in the interpretive capacity of each group and the total of respondents. The variables used were the level of experience, academic degree, interest in cardiology, training in cardiology, and the number of electrocardiograms interpreted in average weekly to see how they influence the interpretive abilities of the participants. It was also carried out the study of cardiac physiology, how the electrocardiogram is performed, how it is interpreted, and the main existing arrhythmias. It was found that the degree of experience and the number of ECGs interpreted in average weekly affected the ability of ECG interpretation, with a direct relationship of these factors with the latest. The same capacity wasn`t affected by the academic degree, training and interest in cardiology, and no relation was observed between these. The group of trainees was the one where there was greater individual variation, so there is less agreement within this group. They were also the group who demonstrated the biggest difficulty in establishing a diagnosis for the ECGs presented. Veterinarians with less than 5 years of experience were those who obtained better results in all tests performed, and they were the ones who had fewer questions unanswered. In the vets with more than five years of experience, there were many questionnaires without any question answered, which affected the results obtained by this group in the analysis of the different variable parameters.
Descrição
Orientação: Luís Cruz ; Co-orientação: Joaquim Henriques
Palavras-chave
VETERINÁRIOS, ELECTROCARDIOGRAMAS, ARRITMIAS CARDÍACAS, VETERINARIANS, ELECTROCARDIOGRAMS, CARDIAC ARRHYTHMIAS, MESTRADO INTEGRADO EM MEDICINA VETERINÁRIA, VETERINARY MEDICINE, MEDICINA VETERINÁRIA, VETERINÁRIA, ANIMAIS DE PEQUENO PORTE, SMALL ANIMALS