Many hospitals have instituted quality assurance systems that require that all
ECGs be read by a hospital cardiologist, just as X rays are read by a hospital
radiologist. Cardiologists who review routine ECGs must realize that this
creates a duty to ensure that the results of the reading are acted on properly.
These duties may be more extensive than the duties of a pathologist or a
radiologist because cardiologists also act as treating consultants. A cardiologist
is expected to know whether the drugs the patient is taking are appropriate to
someone with particular ECG findings and to intervene if they are not. A
dangerous finding on an ECG may create a duty for the cardiologist to do a full
evaluation and consultation in order to ensure that the patient is being cared
for properly.