Faris J V
Cardiol Clin. 1984 Aug;2(3):415-28.
The recent application of exercise electrocardiography in asymptomatic populations requires the physician to be aware of the differences in sensitivity, specificity, and predictive value when compared with its application in the symptomatic population. Strict application of standard testing methodology is necessary to assure valid data collection and to permit the most meaningful interpretation. The prevalence of the false-positive electrocardiogram is distressingly frequent and often eventuates in further diagnostic testing. The asymptomatic positive ECG response does increase the risk of development of overt manifestations of ischemic heart disease. Routine testing in the asymptomatic population should be limited to high-risk population subsets.
运动心电图最近在无症状人群中的应用，要求医生了解与在有症状人群中的应用相比，其在敏感性、特异性和预测价值方面的差异。严格应用标准测试方法对于确保有效的数据收集以及进行最有意义的解读是必要的。心电图假阳性的发生率高得令人苦恼，常常导致进一步的诊断测试。无症状的心电图阳性反应确实会增加缺血性心脏病明显表现发生的风险。无症状人群的常规检测应限于高危人群亚组。
