M. J. GOLDMAN, M.D., F.A.C.P.
To the editor: I wish to comment on the conclusions drawn by Miller and Waggoner in the letter, "Cardiac Disease, Hepatic Disease, and Hepatitis B Antigen" (Ann Intern Med 79:276, 1973). In Patient C. Y., a 20-year-old black man, a diagnosis of cardiac disease is made on the basis of "ST-T changes suggestive of myocarditis." It is hazardous to make a clinical diagnosis of heart disease on this finding alone. Such a practice often leads to the syndrome of iatrogenic heart disease. It is well known that ST-T changes can occur as a normal variant, especially in young black individuals,
GOLDMAN MJ. "Myocarditis" and Hepatitis B Antigen. Ann Intern Med. ;79:760–761. doi: 10.7326/0003-4819-79-5-760
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Published: Ann Intern Med. 1973;79(5):760-761.
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