Bagliani Giuseppe, De Ponti Roberto, Leonelli Fabio M
Cardiology Department, Arrhythmology Unit, Foligno General Hospital, Foligno, Italy; Cardiovascular Diseases Department, University of Perugia, Perugia, Italy.
Cardiology Department, University of Insubria, Varese 21100, Italy.
Card Electrophysiol Clin. 2019 Jun;11(2):175-187. doi: 10.1016/j.ccep.2019.01.003. Epub 2019 Apr 4.
Electrocardiography (ECG) in all its forms, from 12-lead ECG to long-term monitoring, is considered, an old and increasingly irrelevant test in this high technology era. This article reviews the clinical utility of this tool and argues that the obsolescence is due to an increasing inability to read electrocardiographic tracings. The usual interpretative pitfalls are discussed and a logical approach is proposed with illustrative examples. Finally, the concept of precision ECG is presented and its meaning reviewed.
在这个高科技时代，从12导联心电图到长期监测，各种形式的心电图检查都被认为是一项陈旧且越来越无关紧要的检查。本文回顾了这一工具的临床实用性，并认为其过时是由于解读心电图描记的能力日益不足。文中讨论了常见的解读陷阱，并通过示例提出了一种逻辑方法。最后，介绍了精准心电图的概念并对其含义进行了回顾。
