Objective: The reliability of electrocardiogram interpretation to diagnose myocardial
ischemia in critically ill patients is unclear. In adults with septic shock, we assessed intra-and
inter-rater agreement of electrocardiogram interpretation, and the effect of knowledge of
troponin values on these interpretations. Design: Prospective substudy of a randomized trial
of vasopressin vs. norepinephrine in septic shock. Setting: Nine Canadian intensive care
units. Patients: Adults with septic shock requiring at least 5 μg/min of norepinephrine for 6 …