DONALD A. OPILA, M.D.
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To the editor: In the recent article on admission electrocardiograms by Moorman and coworkers (1), it is difficult for the reader to come to the same conclusion as the authors. From the data presented, in fact, one can conclude that the electrocardiogram was not useful, but that careful history taking and physical examination are more important.
I have the following questions about the patient data presented in Table 2. Was the patient who had aortic stenosis totally asymptomatic by history, and was there a heart murmur? It is unusual for left ventricular hypertrophy on electrocardiography to be the only tip-off
OPILA DA. Routine Electrocardiograms on Admission. Ann Intern Med. ;104:444–445. doi: 10.7326/0003-4819-104-3-444
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Published: Ann Intern Med. 1986;104(3):444-445.
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