| The low impact of screening electrocardiograms in healthy individuals: a prospective study and review of the literature. | |
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MedLine Citation:
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PMID: 12546239 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To determine how often screening electrocardiograms (EKGs), which are required by military regulation, change management or disclose cardiac disease in healthy people. METHODS: A total of 1,718 consecutive EKG interpretations, whether or not the screening EKG led to further testing, disclosed serious or potentially serious cardiac disease, or changed management or disposition of the patient, were prospectively recorded. RESULTS: Thirty-four percent of the screening EKGs was abnormal. Seven (0.67%) of these abnormal EKGs altered management by leading to further consultation or testing. No screening EKG disclosed serious underlying cardiac disease. Two cases of potentially serious cardiac disease were discovered by the screening EKGs. At an average follow-up time of 34 months, neither of these two patients has developed serious cardiac disease. Our findings are similar to studies of other populations. CONCLUSION: Screening EKGs rarely caused a change in management. No adverse outcome would have occurred nor would serious cardiac disease have been missed if the routine screening EKG were not performed. The military should consider abandoning practice of performing screening EKGs in young, healthy individuals. |
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Authors:
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Emil Lesho; Daniela Gey; Grant Forrester; Edward Michaud; Ethan Emmons; Edward Huycke |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Military medicine Volume: 168 ISSN: 0026-4075 ISO Abbreviation: Mil Med Publication Date: 2003 Jan |
Date Detail:
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Created Date: 2003-01-27 Completed Date: 2003-02-20 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 2984771R Medline TA: Mil Med Country: United States |
Other Details:
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Languages: eng Pagination: 15-8 Citation Subset: IM |
Affiliation:
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U.S. Army Medical Activity, Heidelberg, Germany. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Age Factors Aged Aged, 80 and over Child Electrocardiography* Female Heart Diseases / diagnosis*, epidemiology, prevention & control, therapy Humans Male Mass Screening* Middle Aged Military Personnel / statistics & numerical data Outcome Assessment (Health Care)* Prospective Studies United States / epidemiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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