Failure to Diagnose Acute Myocardial Infarction
作者： Edwin J. Zarling
DOI: 10.1001/JAMA.1983.03340090033025
关键词: Diagnostic laboratory 、 Emergency medicine 、 Medical diagnosis 、 Community hospital 、 Cardiology 、 Electrocardiography 、 Internal medicine 、 Retrospective cohort study 、 Medicine 、 Subspecialty 、 Autopsy 、 Myocardial infarction
摘要: A retrospective study of 100 consecutive cases autopsy-proved acute myocardial infarction has disclosed a surprisingly low frequency (53%) correct antemortem diagnoses. Incorrect diagnoses seemed to be caused by (1) unjustified dependence on misleading laboratory studies, (2) inattention suggestive or diagnostic (3) atypical obscure presentation infarction, and (4) failure consider as possibility, particularly when the responsible physician was not specialist in internal medicine its subspecialty cardiology. Suggested corrective measures are more appropriate use ECG education reeducation selected groups physicians. ( JAMA 1983;250:1177-1181)
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