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April 1, 1996Journal of the American Geriatrics Society

Health Services Research

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Why the study?

Does routine EKG provide clinical value in the management of older patients with stable cardiac disease during return ambulatory clinic visits?

Population

71 patients older than 65 years of age, with cardiac diagnoses, presenting for follow-up visits. Excluded…

Design

Cohort

Authors

CSChittur A. SivaramNANaveed AhmedJLJoseph R. Lestina

Discussion

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Overview

May warrant reduced routine EKGs in stable return visits; leaves open prospective trials on selective use.

Structured PICO

Does routine EKG provide clinical value in the management of older patients with stable cardiac disease during return ambulatory clinic visits?

P
Population
71 patients older than 65 years of age, with cardiac diagnoses, presenting for follow-up visits (254 encounters). Excluded: new patients and patients followed in special arrhythmia clinics for pacemakers or significant arrhythmias.
I
Intervention
Routine electrocardiogram (EKG) during each clinic visit
O
Outcome
Frequency and nature of therapeutic decisions made in the clinic, contribution of the EKG to the decision-making process, appropriateness of the EKG, and physician response to the EKG

Routine EKGs in older patients with stable cardiac symptoms during return clinic visits rarely provide unexpected diagnostic information or lead to major therapeutic decisions.

Cite This Study

Sivaram et al. (1996) studied this question.

synapsesocial.com/papers/6a797afa5968508e56f38026https://doi.org/10.1111/j.1532-5415.1996.tb06418.x
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