Hurst J W
Division of Cardiology, Emory University School of Medicine, Atlanta, Georgia, USA.
Clin Cardiol. 1998 Mar;21(3):211-6. doi: 10.1002/clc.4960210315.
Irritating errors are called crotchets. This paper discusses the following electrocardiographic crotchets: memorizing patterns rather than using basic principles, failure to use the electrocardiogram as a diagnostic tool, failure to correlate all available data, failure to appreciate the limitation of the computer interpretation, failure to appreciate the diagnostic value of P-wave abnormalities, the identification and misuse of abnormal Q waves, the misuse of left or right axis deviation of the QRS complexes, the misuse of the amplitude of the QRS complexes as a sign of left ventricular hypertrophy, identification of left ventricular hypertrophy, failure to identify uncomplicated and complicated bundle-branch block, failure to identify secondary and primary T-wave abnormalities, failure to identify secondary and primary S-T abnormalities, and lack of knowledge of the U waves.
令人困扰的错误被称为怪癖。本文讨论以下心电图怪癖：死记硬背模式而非运用基本原则、未将心电图用作诊断工具、未关联所有可用数据、未认识到计算机解读的局限性、未认识到P波异常的诊断价值、异常Q波的识别与误用、QRS波群左或右轴偏移的误用、将QRS波群振幅误用作左心室肥厚的标志、左心室肥厚的识别、未识别单纯性和复杂性束支传导阻滞、未识别继发性和原发性T波异常、未识别继发性和原发性S-T段异常以及对U波缺乏了解。
