Palmer W H, White C L
J Fam Pract. 1979 Jan;8(1):29-35.
The electrocardiogram is one of medicine's most frequently ordered procedures. A review of the current use of electrocardiograms in ambulatory clinical practice and the possible information that might be supplied by an electrocardiogram was undertaken. The electrocardiogram's advantages and disadvantages when used in evaluating specific cardiac disorders are discussed including the use of the electrocardiogram as a baseline. Both their values and their limitations in diagnosis and management are examined to support the authors' conclusion that electrocardiograms should be used as an adjunct to clinical diagnosis, not as a screening procedure.
心电图是医学上最常要求进行的检查之一。本文对动态临床实践中心电图的当前应用情况以及心电图可能提供的信息进行了综述。讨论了心电图在评估特定心脏疾病时的优缺点,包括将心电图用作基线的情况。研究了其在诊断和管理中的价值及局限性,以支持作者的结论,即心电图应作为临床诊断的辅助手段,而非筛查程序。