Automatic ECG diagnosis of atrial fibrillation frequently misidentifies f-waves as sinus P waves (causing missed AF) or misses sinus/ectopic P waves (causing false positive AF), highlighting the continued need for specialist over-reading and improved algorithms.
Requires specialist over-reading of automatic ECGs to avoid AF misdiagnosis; leaves open whether algorithm refinements can reduce errors.
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Katoh et al. (2021) studied this question.
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