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Does Resting or Exercise Electrocardiography Assist Clinicians in Preventing Cardiovascular Events in Asymptomatic Adults?

Does Resting or Exercise Electrocardiography Assist Clinicians in Preventing Cardiovascular... Opinion EDITORIAL Does Resting or Exercise Electrocardiography Assist Clinicians in Preventing Cardiovascular Events in Asymptomatic Adults? Joseph S. Alpert, MD This week in JAMA, the US Preventive Services Task Force My initial response to this report was that the task force (USPSTF) published a recommendation statement and evi- has created a straw man that is easy to knock down. Indeed, dence report for health care professionals concerning screen- the USPSTF has addressed, in my opinion, one rather minor ing cardiovascular disease (CVD) using resting and exercise aspect of ECG. The task force was tasked with commenting on electrocardiography (ECG). the use of ECG with little indication but with frequent use. This task force has authored UseoftherestingECGinclinicalpracticeiscommonplaceand Related articles at jama.com many reports throughout the has been so for nearly 100 years. Exercise ECG has been used by years involving a variety of clinicians for more than 50 years. My cardiology colleagues and possible screening approaches associated with the preven- I frequently order resting ECG recordings on new and established tion of disease. The latest recommendations point out that a patients to document abnormalities in heart rhythm, to assist in careful review of the medical literature failed to find any http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Cardiology American Medical Association

Does Resting or Exercise Electrocardiography Assist Clinicians in Preventing Cardiovascular Events in Asymptomatic Adults?

JAMA Cardiology , Volume 3 (8) – Aug 12, 2018

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Publisher
American Medical Association
Copyright
Copyright 2018 American Medical Association. All Rights Reserved.
ISSN
2380-6583
eISSN
2380-6591
DOI
10.1001/jamacardio.2018.1800
Publisher site
See Article on Publisher Site

Abstract

Opinion EDITORIAL Does Resting or Exercise Electrocardiography Assist Clinicians in Preventing Cardiovascular Events in Asymptomatic Adults? Joseph S. Alpert, MD This week in JAMA, the US Preventive Services Task Force My initial response to this report was that the task force (USPSTF) published a recommendation statement and evi- has created a straw man that is easy to knock down. Indeed, dence report for health care professionals concerning screen- the USPSTF has addressed, in my opinion, one rather minor ing cardiovascular disease (CVD) using resting and exercise aspect of ECG. The task force was tasked with commenting on electrocardiography (ECG). the use of ECG with little indication but with frequent use. This task force has authored UseoftherestingECGinclinicalpracticeiscommonplaceand Related articles at jama.com many reports throughout the has been so for nearly 100 years. Exercise ECG has been used by years involving a variety of clinicians for more than 50 years. My cardiology colleagues and possible screening approaches associated with the preven- I frequently order resting ECG recordings on new and established tion of disease. The latest recommendations point out that a patients to document abnormalities in heart rhythm, to assist in careful review of the medical literature failed to find any

Journal

JAMA CardiologyAmerican Medical Association

Published: Aug 12, 2018

References