Picciotto D, Verso M G, Lacca G, Mangiapane N
Università degli Studi di Palermo, Istituto di Medicina del Lavoro e Preventiva G. Fradà, Cattedra di Medicina del Lavoro, Palermo.
Med Lav. 1998 Jul-Aug;89(4):316-22.
An analysis is made of the significance of the occasional observation of asymptomatic T-wave changes (inversion). The authors maintain that only an overall evaluation of the anamnestic, clinical and laboratory findings will enable the physician to make a correct diagnosis and exclude from the start, via coordinated protocols, any silent ischaemic disease, and also a series of clinical conditions that the ECG can reveal as this disease. In this connection the authors report a clinical case that is deemed interesting due to the finding of ECG anomalies in an asymptomatic young, athletic subject observed during a periodical medical examination for the purpose of certifying fitness for a specific type of work.
对偶尔观察到的无症状T波改变（倒置）的意义进行了分析。作者认为，只有对病史、临床和实验室检查结果进行全面评估，医生才能做出正确诊断，并通过协调一致的方案从一开始就排除任何隐匿性缺血性疾病，以及一系列心电图可显示为此类疾病的临床情况。在这方面，作者报告了一个临床病例，该病例因在一名无症状的年轻运动员定期体检以证明适合特定工作类型时发现心电图异常而被认为很有趣。
