Fyfe T, Maclean N M
Br Med J. 1975 Mar 8;1(5957):563-6. doi: 10.1136/bmj.1.5957.563.
An average of 10-5 E.C.G.s were recorded weekly in a health centre used by 32 general practitioners serving a population of almost 65,000. The main indication for an E.C.G. was chest pain (73%). 47% of the E.C.G.s were abnormal. A change in clinical diagnosis occurred in 28% of cases and in patient management in 16%. A significant number of these changes were unwarranted, however. It is recommended that the E.C.G.s should be recorded by suitably trained nurses and reported by a specially trained general practitioner. Further education of general practitioners in the clinical use of the E.C.G. is required.
在一个由32名全科医生服务近65000人口的健康中心，每周平均记录10至5份心电图。心电图的主要指征是胸痛（73%）。47%的心电图异常。28%的病例临床诊断发生变化，16%的病例患者管理发生变化。然而，这些变化中有相当一部分是不必要的。建议心电图应由经过适当培训的护士记录，并由经过专门培训的全科医生报告。需要对全科医生进行心电图临床应用方面的进一步教育。
