Learning electrocardiogram on You Tube: How useful is it?

Background: You Tube has become a useful resource for knowledge and is widely used by medical students as an e-learning source. The purpose of this study was to assess the videos relating electrocardiogram (ECG) on You Tube. Methods: You Tube was searched on May 28, 2013 for the search terms AF ecg for atrial fibrillation, AVNRT for atrioventricular nodal reentrant tachycardia, AVRT for atrioventricular reentrant tachycardia, AV block or heart block for atrioventricular block, LBBB, RBBB for bundle branch block, left anterior fascicular block or left posterior fascicular block for fascicular blocks, VT ecg for ventricular tachycardia, long QT and Brugada ecg. Non-English language, unrelated and non-educational videos were excluded. Remaining videos were assessed for usefulness, source and characteristics. Usefulness was assessed with using a checklist developed by the authors. Results: One hundred nineteen videos were included in the analysis. Sources of the videos were as follows: individuals n = 70, 58.8%, universities/hospitals n = 10, 8.4% and medical organizations n = 3, 2.5%, health ads n = 10 8.4%, health websites n = 26, 21.8%. Fifty-six (47.1%) videos were classified as very useful and 16 (13.4%) videos were misleading. 90% of the videos uploaded by universities/hospitals were grouped as very useful videos, the same ratio was 45% for the individual uploads. There were statistically significant differences in ECG diagnosis among the groups (for very useful, useful and misleading, p < 0.001, 0.02 and 0.008, respectively). The ratio of the misleading information in ventricular tachycardia videos was found to be 42.9%. Conclusions: YouTube has a substantial amount of videos on ECG with a wide diversity from useful to misleading content. The lack of quality content relating to ECG on YouTube necessitates that videos should be selected with utmost care. (C) 2014 Elsevier Inc. All rights reserved.