What question did this study set out to answer?

To examine the diagnostic hazards and socioeconomic consequences of mistaking benign, normal electrocardiographic variants for ischemic or myocardial heart disease.

January 30, 1967JAMA

Normal electrocardiographic variants simulating ischemic heart disease

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Design

Editorial

Authors

HMH. J. Marriott

Discussion

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Implication

Misinterpretation of normal ECG variants as ischemic heart disease can cause severe psychological and socioeconomic harm to patients.

Key Points

To examine the diagnostic hazards and socioeconomic consequences of mistaking benign, normal electrocardiographic variants for ischemic or myocardial heart disease.
Synthesized clinical literature and direct practitioner observations documenting instances where normal electrocardiographic tracings were interpreted as coronary pathology.
Assessed the personal, psychological, and socioeconomic impacts resulting from overreliance on electrocardiogram printouts without adequate consideration of patient clinical context.
Determined that misinterpreting benign electrocardiograms causes severe non-clinical harm, including unnecessary hospital admissions, acute financial hardship, denial of life insurance, and delayed marriage.
Identified substantial psychological morbidity resulting from false cardiac diagnoses, including severe cardiac-disease neurosis and documented instances of patient suicide.

Cite This Study

H. J. Marriott (1967) studied this question.

synapsesocial.com/papers/6a7db4b8c108c8d3ff0455b8 https://doi.org/10.1001/jama.199.5.325

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Normal electrocardiographic variants simulating ischemic heart disease

Discussion

Member takes

Implication

Key Points

Cite This Study

Normal electrocardiographic variants simulating ischemic heart disease

Discussion

Member takes

Implication

Key Points

Cite This Study

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