Mullen P J
Medical Division, Royal Air Force Hospital, Wegberg.
J R Army Med Corps. 1990 Feb;136(1):40-2. doi: 10.1136/jramc-136-01-06.
The use of the electrocardiograph by general practitioners was studied by scrutiny of 100 successive referrals to the Department of Clinical Electrophysiology. 31% of referrals were on patients with chronic, recurrent chest pain and a further 13% were on patients with a recent episode of acute chest pain. The ECG is of limited diagnostic value in patients with chest pain, and it may be both misleading and time-wasting when used inappropriately by general practitioners.
通过仔细审查连续转诊至临床电生理科的100例病例,对全科医生使用心电图的情况进行了研究。31%的转诊病例是关于患有慢性复发性胸痛的患者,另有13%是关于近期发生急性胸痛的患者。心电图对胸痛患者的诊断价值有限,全科医生不恰当地使用时可能会产生误导且浪费时间。