Weinberg S L
J Am Coll Cardiol. 1983 Jan;1(1):6-12. doi: 10.1016/s0735-1097(83)80005-9.
The patient with heart disease and the physician providing cardiovascular health care have experienced dramatic change since the American College of Cardiology first published its journal 25 years ago. During the decade before 1958, cardiology and cardiovascular surgery emerged as specialties. Surgery by closed techniques flourished and open heart surgery began. Since 1958, spectacular progress has occurred. Closed chest massage and defibrillation, electronic monitoring, advances in electrophysiology and a new pharmacology have changed cardiology. The coronary care unit has evolved into a comprehensive coronary care system. Pacemakers, myocardial revascularization and open heart surgery have become commonplace and percutaneous angioplasty an option. As custodians of cardiology's historic advances, the cardiologist and cardiovascular surgeon are cast in a role of decision maker and problem solver. Today's diagnostic and therapeutic cardiology, used appropriately, has great potential for good--used inappropriately, for great harm. The patient has the right to expect the physician to act objectively and appropriately in dealing with problems that may threaten his or her livelihood or life. The physician who does less is an unworthy heir to cardiology's great legacy of 1983.
自美国心脏病学会25年前首次出版其期刊以来，患有心脏病的患者以及提供心血管保健的医生都经历了巨大的变化。在1958年之前的十年里，心脏病学和心血管外科成为了专业领域。闭式技术手术蓬勃发展，心脏直视手术开始出现。自1958年以来，取得了惊人的进展。胸外心脏按压和除颤、电子监测、电生理学的进步以及新的药理学改变了心脏病学。冠心病监护病房已发展成为一个综合的冠心病护理系统。起搏器、心肌血运重建和心脏直视手术已变得司空见惯，经皮血管成形术也成为一种选择。作为心脏病学历史性进展的守护者，心脏病专家和心血管外科医生扮演着决策者和问题解决者的角色。当今的诊断和治疗性心脏病学，如果使用得当，有很大的潜在益处——如果使用不当，则会造成巨大危害。患者有权期望医生在处理可能威胁其生计或生命的问题时客观、适当地行事。做得不够的医生是1983年心脏病学伟大遗产的不合格继承者。
