Swan H J
University of California, Los Angeles, School of Medicine.
J Crit Illn. 1992 Jun;7(6):861-70.
Electrocardiography continues to be a cornerstone in the management of an array of cardiac and noncardiac disorders. However, the ease with which an electrocardiogram can be obtained, as well as its low cost, has led to widespread use--and possible overuse--of this technology. A joint committee of the American College of Cardiology and the American Heart Association recently published guidelines for appropriate use of electrocardiography in patients with known heart disease; in persons suspected of having, or who are at risk for, heart disease; and in persons with no apparent or suspected cardiac disease. These guidelines can help clinicians determine when, and for which patients in the intensive care unit, an electrocardiogram is warranted.
心电图仍然是一系列心脏和非心脏疾病管理的基石。然而,心电图获取的便捷性及其低成本导致了这项技术的广泛应用——甚至可能是过度使用。美国心脏病学会和美国心脏协会的一个联合委员会最近发布了关于已知心脏病患者、疑似患有心脏病或有心脏病风险的人群以及无明显或疑似心脏病的人群适当使用心电图的指南。这些指南可以帮助临床医生确定在重症监护病房中何时以及对哪些患者进行心电图检查是必要的。